- •What is the primary question addressed by this study?Patients with comorbid medical and psychiatric illness suffer poorer outcomes due to a siloed healthcare system in the United States and new models of care, but do integrated behavioral models, combined medicine-psychiatry services, or complexity intervention units better serve these patients?
- •What is the main finding of this study?Integrated behavioral models of healthcare are designed to provide whole-patient care, addressing health disparities, and reducing barriers for patients with comorbid psychiatric illness. We describe integrated behavioral healthcare models with an emphasis on the combined medicine-psychiatry (med-psych) service at Duke University Hospital as well as detail the Duke University combined internal medicine-psychiatry residency training program.
- •What is the meaning of the finding?The Duke University Hospital med-psych service and residency training program may serve as an archetype for those interested in developing combined services or training programs elsewhere as a means providing integrated care for complex patients with comorbid illness.
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Acknowledged, but non-authored: Kristen Shirey, MD.