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Psychiatrists for Medically Complex Patients: Bringing Value at the Physical Health and Mental Health/Substance-Use Disorder Interface

机译:医疗复杂患者的精神科医生:为身体健康和心理健康/物质使用失调带来价值

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摘要

In their current configuration, traditional reactive consultation-liaison services see a small percentage of the general-hospital patients who could benefit from their care. These services are poorly reimbursed and bring limited value in terms of clinical improvement and reduction in health-service use.
机译:在目前的配置下,传统的反应式咨询联络服务会看到一小部分可以从其护理中受益的普通医院患者。这些服务的报销差,在临床改善和减少卫生服务使用方面带来的价值有限。

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    《Psychosomatics》 |2009年第2期|p.93-107|共15页
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    ROGER G. KATHOL, M.D., ELISABETH J.S. KUNKEL, M.D.JOSEPH S. WEINER, M.D., ROBERT M. MCCARRON, M.D.LINDA L.M. WORLEY, M.D., WILLIAM R. YATES, M.D.PAUL SUMMERGRAD, M.D., FRITS J. HUYSE, M.D.Received May 26, 2008, revised September 10, 2008, accepted October 6, 2008. From the Dept. of Internal Medicine and Psychiatry, Univ. of Minnesota (RGK), the Dept. of Psychiatry, Thomas Jefferson Univ. (EJSK), the Dept. of Internal Medicine and Psychiatry, Albert Einstein College of Medicine (JSW), the Dept. of Internal Medicine and Psychiatry, Univ. of California, Davis (RMM), the Dept. of Psychiatry and Obstetrics/Gynecology, Univ. of Arkansas (LLMW), the Dept. of Psychiatry and Family Practice, Laureate Institute for Brain Research ((WRY), the Dept. of Psychiatry and Internal Medicine,, Tufts Univ. (PS), and the Dept. of General-Internal Medicine, Univ. Medical Center, Groningen, The Netherlands (FJH). Send correspondence and reprint requests to Roger Kathol, M.D., 3004 Foxpoint Rd., Burnsville, MN 55337. e-mail: roger-kathol@attglobal.net© 2009 The Academy of Psychosomatic MedicineThe first author is President of Cartesian Solutions, Inc., a health-management consulting company that specializes in assisting with the development of programs for medically-complex patients and the integration of generalmedical and mental-health care. Because this article discusses what the authors consider value-added models for the clinical integration of health services, Dr. Kathol has a potential conflict of interest.Dr. Frits Huyse has developed a proactive approach to complexity assessment and intervention through the IN- TERMED. In addition to being part time faculty at the University of Groningen in the Netherlands, he actively endorses and assists with implementation in the use of the INTERMED through consultations to various institutions.,;

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