协调医疗保健和精神保健以获得最佳结果。

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引用次数: 0

摘要

医院工作人员必须确定患者的行为健康问题和身体问题,并在治疗和出院计划中包括这两种情况,以防止再次入院。•有行为问题的患者通常难以坚持自己的治疗计划,随着医疗保健转向基于价值的报销,这增加了医院开始承担的财务风险。•医院开始通过在急诊科安置临床社会工作者来筛查患者,与附近的精神健康诊所签约,并将自己的行为健康人员分配到急诊科,从而将精神和身体问题的治疗结合起来。•病例管理人员应该将患者转介到社区资源,最好是一个以患者为中心的医疗之家,可以提供两种问题的护理。•综合护理从急诊科开始,但工作人员通常很少接受如何识别和治疗行为健康障碍的培训。
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Coordinate Medical Care, Mental Healthcare for the Best Outcomes.

Hospital staff must identify patients with behavioral health issues and physical problems, and include both conditions in the treatment and discharge plans in order to prevent readmissions. •Patients with behavioral issues often have trouble adhering to their treatment plans, which increases the financial risk hospitals are beginning to bear as healthcare shifts to value-based reimbursement. •Hospitals are beginning to integrate treatment for mental and physical issues by placing clinical social workers in the ED to screen patients, contracting with a nearby mental health clinic, and assigning their own behavioral health staff to the ED. •Case managers should refer patients to community resources, preferably with a patient-centered medical home that can provide care for both issues. •Integrated care begins in the ED, but the staff typically has little training on how to recognize and treat behavioral health disorders.

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