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patient-centered medical home and integrated care in the United States: An opportunity to maximize delivery of primary care

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Family Medicine and Community Health 2015年第2期3卷 48-53页

作者： Sandra J.Gonzalez Maria C.Mejia de Grubb Roger J.Zoorob Department of Family and Community Medicine Baylor College of MedicineHoustonTXUSA

The reciprocal relationship between mental and physical health is well ***,untreated,and poorly managed mental health conditions are associated with numerous physical health complications,poor treatment adherence,and decreased quality of *** growing evidence regarding the importance of effectively addressing these conditions in primary care,the rates of identification remain low and follow-up and management by primary care providers has been *** objective of this review was to demonstrate the role of patient-centered medical home(PCMH)and mental health integration in addressing comprehensive health care needs in primary care patients,and to describe common barriers and facilitators to the implementation of these types of programs.

关键词： patient-centered medical home integrated primary care health care service delivery mental health chronic disease management behavioral health integration

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A population-based approach to the management of depression in a patient-centered medical home

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Family Medicine and Community Health 2015年第1期3卷 47-52页

作者： Kenneth Kushner Gwynneth Schell Department of Family Medicine University of Wisconsin and Wingra Access Family Medical CenterMadisonWisconsinUSA Department of Counseling Psychology University of Wisconsin and Access Community Health CentersMadisonWisconsinUSA

Objective:This article describes the implementation of a population-based strategy to man-age depression in a patient-centered medical ***:Review of English language articles;description of specific protocols utilized in one medical ***:Depression is a global concern estimated to affect 350 million people *** for depression vary between the United States and the Peoples’Republic of China,possibly due to significant factors in under diagnosis of this often hidden *** the comorbidity of depres-sion with other health factors and the need for ongoing monitoring and care of this chronic illness,primary care has become a significant part of treatment *** electronic health records(EHR),our strategy included the creation of a patient registry;selection of evidence-based treatment guidelines and protocols for point of care procedures;patient outreach and ***:The population-based program we outline is highly dependent on the EHR and the flexibility of roles and responsibilities of clinical *** investigation is warranted into improved patient outcomes.

关键词： Depression patient-centered medical home population health

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New models for chronic disease management in the United States and China

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Family Medicine and Community Health 2014年第4期2卷 13-19页

作者： Ronald R.O’Donnell College of Health Solutions Arizona State UniversityPhoenixAZ 85004USA

In the United States(US)the role of the general practitioner in primary care is changing rapidly as the team leader in the new“patient-centered medical home”model of care that is designed to improve the management of chronic ***“Collaborative Care Model”is an integrated model of treating multiple medical and behavioral *** new approaches include a nurse case manager who serves as the key point of contact to provide education,facilitate treatment adherence,and guide the patient to improvements in nutrition and physical activity that cause obesity and chronic disease.A gap analysis was conducted comparing the US and Chinese general practitioner models for providing care to patients with chronic *** results of the analysis were used to make recommendations for adding components of these models that are feasible and effective for Chinese general practitioners in community health centers.

关键词： Integrated behavioral health or integrated behavioral care Primary care behavioral health patient-centered medical home Population health management Disease management Telehealth

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