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Collaborative care in real-world settings: barriers and opportunities for sustainability

机译：现实环境中的协作护理：可持续性的障碍和机遇

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Patient-centered care and self-management of chronic disease are optimally characterized by distinct adjunct services such as education, and support for the behavioral and psychosocial elements of managing disease. The collaborative care model for the treatment of depression and anxiety in primary care includes the integration of a behavioral health specialist, in collaboration with the primary care provider, and psychiatric consultation to effectively screen and treat common mental health problems. Dissemination and sustainability of the model have encountered numerous barriers across systems of care. This article represents a discussion of the key barriers to collaborative care and offers a discussion of opportunities for dissemination and sustainability of the model.
机译：以病人为中心的护理和慢性病自我管理的最佳特征是提供独特的辅助服务，例如教育以及对疾病管理的行为和社会心理因素的支持。在初级保健中用于治疗抑郁症和焦虑症的协作护理模型包括与行为保健专家的整合，与初级保健提供者的合作以及进行精神病咨询以有效筛查和治疗常见的精神健康问题。该模型的传播和可持续性在整个护理系统中都遇到了许多障碍。本文讨论了合作医疗的主要障碍，并讨论了该模型的传播和可持续性机会。

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