Abstract：
UNASSIGNED: 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.
摘要：
美国的门诊精神卫生保健是由公共和私人实体的不协调拼凑提供的，这些实体努力有效区分他们提供的护理。COVID-19大流行催化了这个领域的变革性变化，包括迅速采用远程医疗和增加私营部门投资，为希望通过保险获得护理的个人提供服务。在这篇文章中,我们简要回顾了流动精神卫生保健的现状。利用基西克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，有可能协同促进质量提高的心理健康生态系统的实体，access,和成本效益。提出了战略整合的路线图，以说明学术中心-经常因患者数量而不堪重负的机构-如何利用与渴望利用新技术来改善获取的私营部门的伙伴关系。展示数据驱动的结果，并主张改善付款人的报销。我们还评估了这种合作的潜在风险和陷阱。作为回报,学术机构可以重新关注他们的优势，包括研究,系统知识，质量改进举措，教育和培训,和专业临床护理。
