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首页> 外文期刊>Psychosomatics >Psychiatrists for medically complex patients: bringing value at the physical health and mental health/substance-use disorder interface.
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Psychiatrists for medically complex patients: bringing value at the physical health and mental health/substance-use disorder interface.

机译：精神科医师，用于医疗复杂的患者：在身体健康和心理健康/物质使用障碍的接口上带来价值。

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BACKGROUND: 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. METHOD: The authors examine models of cross-disciplinary, integrated health services that have been shown to promote health and lower cost in medically-complex patients, those with complicated admixtures of physical, mental, social, and health-system difficulties. CONCLUSION: Psychiatrists who specialize in the treatment of medically-complex patients must now consider a transition from traditional consultation to proactive, value-added programs and bill for services from medical, rather than behavioral, insurance dollars, since the majority of health-enhancement and cost-savings from these programs occur in the medical sector. The authors provide the clinical and financial arguments for suchprogram-creation and the steps that can be taken as psychiatrists for medically-complex patients move to the next generation of interdisciplinary service.
机译：背景：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。这些服务的报销很差，在临床改善和减少卫生服务使用方面带来的价值有限。方法：作者研究了跨学科的综合健康服务模型，这些模型已被证明可以促进医疗复杂的患者，身体，精神，社会和卫生系统困难的复杂患者的健康并降低成本。结论：专注于医疗复杂患者治疗的精神科医生现在必须考虑从传统的咨询过渡到积极的增值计划，并从医疗保险而非行为保险中获得服务账单，因为大多数的健康改善和这些计划的成本节省发生在医疗领域。作者提供了此类程序创建的临床和财务论据，并为医疗复杂患者的精神科医生转入下一代跨学科服务提供了可采取的步骤。

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