Английская Википедия:Collaborative Care
Шаблон:Short description Collaborative Care is a healthcare philosophy and movement focussed on a systematised way of managing care and treatment for people with chronic conditions. Related ideas include: Integrated care, Primary Care Behavioral Health, Integrated care systems, and shared care. There are many studies establishing the long-term clinical and cost-effectiveness of collaborative care for people with physical–mental comorbidity. Nearly half of all people with a diagnosable mental health problem also have a long-term physical condition.
The Agency for Healthcare Research and Quality (AHRQ) published an overview of many different models and the research that supports them in 2008.[1] The key features of Collaborative Care models are:
- Integration of mental health professionals in primary care medical settings
- Close collaboration between mental health and medical/nursing providers
- Focus on treating the person and family.
Four key components were identified by Ramanju and Pincus in 2019:
- a multiprofessional approach to patient care;
- a structured management plan tailored to the individual needs of the patient;
- proactive follow-up delivering evidence-based treatments;
- processes to enhance interprofessional communication such as routine and regular team meetings and/or shared records.[2]
According to Shivam Shah collaborative care is a form of systematic team-based care involving:
- A case manager responsible for the coordination of different components of care;
- A structured care management plan, shared with the patient;
- Systematic patient management based on protocols and the tracking of outcomes;
- Delivery of care by a multidisciplinary team which includes a psychiatrist;
- Collaboration between primary and secondary care.[3]
There are organisations in many countries promoting these ideas such as the American Collaborative Family Healthcare Association, a multi-guild member association based in Chapel Hill, North Carolina, which supports healthcare professionals in integrating physical and behavioral health.[4] The University of Washington has an Advancing Integrated Mental Health Solutions Center, founded by Jürgen Unützer, to promote primary care behavioral health.[5]
The Coalition for Collaborative Care was established in England in 2014. It focuses on re-framing the relationship between a person with long-term health conditions and the professionals supporting them.[6]
See also
References
- ↑ Butler M, Kane RL, McAlpine D, Kathol, RG, Fu SS, Hagedorn H, Wilt TJ. Integration of Mental Health/Substance Abuse and Primary Care No. 173 (Prepared by the Minnesota Evidence-based Practice Center under Contract No. 290-02-0009.) AHRQ Publication No. 09-E003. Rockville, MD. Agency for Healthcare Research and Quality. October 2008.
- ↑ Шаблон:Cite journal
- ↑ Шаблон:Cite news
- ↑ Шаблон:Cite web
- ↑ Шаблон:Cite news
- ↑ Шаблон:Cite news
