Finding Our Lanes: A Roadmap for Collaboration Between Academic Medical Centers and Behavioral Telehealth Companies.

IF 2.5 4区医学 Q2 PSYCHIATRY

Harvard Review of Psychiatry Pub Date : 2024-07-01 DOI:10.1097/HRP.0000000000000401

Daniel J Eden, Alison Hermann, Lisa B Sombrotto, Philip J Wilner, Justin A Chen

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引用次数: 0

Abstract

Abstract: Outpatient mental health care in the United States is delivered by an uncoordinated patchwork of public and private entities that struggle to effectively differentiate the care they provide. The COVID-19 pandemic catalyzed transformative changes in this space, including rapid adoption of telehealth and escalating private sector investment to provide services for individuals wishing to obtain care through insurance. In this article, we briefly review the current landscape of ambulatory mental health care. Utilizing Kissick's Iron Triangle model of health care delivery, we compare the relative strengths and weaknesses of academic medical centers and the growing private sector, entities potentially positioned to synergistically foster a mental health ecosystem with improved quality, access, and cost-effectiveness. A roadmap for strategic integration is presented for how academic centers-institutions frequently overwhelmed by patient volume-might leverage partnerships with a private sector eager to utilize novel technology to improve access, demonstrate data-driven outcomes, and advocate for improved reimbursement from payers. We also assess the potential risks and pitfalls of such collaboration. In return, academic institutions can refocus on their strengths, including research, systems knowledge, quality-improvement initiatives, education and training, and specialty clinical care.

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找到我们的方向：学术医疗中心与行为远程保健公司合作路线图》。

摘要：在美国，门诊精神卫生保健服务是由不协调的公共和私营实体拼凑而成的，这些实体很难有效地区分他们所提供的保健服务。COVID-19 大流行催化了这一领域的变革，包括远程医疗的快速采用和私营部门投资的不断增加，为希望通过保险获得医疗服务的个人提供服务。在本文中，我们将简要回顾门诊精神卫生医疗的现状。利用基西克（Kissick）的医疗服务铁三角模型，我们比较了学术医疗中心和不断增长的私营部门的相对优势和劣势，这两个实体有可能协同促进心理健康生态系统的发展，从而提高质量、可及性和成本效益。我们提出了一个战略整合路线图，说明学术中心--经常被患者数量压得喘不过气来的机构--可以如何利用与私营部门的合作关系，利用新技术来改善就医环境、展示数据驱动的结果，并向支付方争取更多的补偿。我们还评估了这种合作的潜在风险和隐患。作为回报，学术机构可以重新专注于自己的强项，包括研究、系统知识、质量改进计划、教育和培训以及专科临床护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Harvard Review of Psychiatry PSYCHIATRY-

CiteScore

7.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Harvard Review of Psychiatry is the authoritative source for scholarly reviews and perspectives on important topics in psychiatry. Founded by the Harvard Medical School''s Department of Psychiatry, the Harvard Review of Psychiatry features review papers that summarize and synthesize the key literature in a scholarly and clinically relevant manner. Topics covered include: Schizophrenia and related disorders; Mood disorders; Personality disorders; Substance use disorders; Anxiety; Neuroscience; Psychosocial aspects of psychiatry; Ethics; Psychiatric education; and much more. In addition, a Clinical Challenges section presents a case with discussion from a panel of experts. Brief reviews are presented in topic-specific columns that include Cross-Cultural Psychiatry, History of Psychiatry, Ethics, and others.