Integrated Care for Complicated Patients: A Role for Combined Training and Practice

被引:3
|
作者
-Welty, Gregg A. Robbins [1 ,2 ,3 ]
Gagliardi, Jane P. [1 ,2 ]
机构
[1] Duke Univ Med Ctr, Dept Psychiat & Behav Sci, Durham, NC USA
[2] Duke Univ Med Ctr, Depart ment Med, Durham, NC USA
[3] Duke Univ Hosp, Combined Internal Med & Psychiat Residency Program, Box 3837, 2301 Erwin Rd, Durham, NC 27710 USA
来源
关键词
Integrated care; collaborative care; medicine; -psychiatry; comorbid illness; inpatient care; healthcare delivery models; MENTAL-HEALTH-SERVICES; UNITED-STATES; MEDICINE-PSYCHIATRY; DEPRESSION CARE; OLDER-ADULTS; PHYSICIANS; ILLNESS; ACCESS; PERCEPTIONS; COMPLEXITY;
D O I
10.1016/j.jagp.2022.10.008
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Patients with chronic medical disease frequently have comorbid psychiatric ill-ness, yet mental and physical healthcare is frequently siloed in the United States. Integrated behavioral healthcare models, such as medicine-psychiatry services, are feasible, improve patient outcomes, and reduce costs. The Duke University Hospital medicine-psychiatry service provides holistic patient care and serves as a model for those interested in developing combined services or training programs elsewhere. Combined residency training in psychiatry is a way to provide a workforce of physician-scientist educators adept at providing coordinated, integrated care for complex patients with comorbid illness. (Am J Geriatr Psychiatry 2023; 31:222-231)
引用
收藏
页码:222 / 231
页数:10
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