Purpose of Review

This paper considers the potential contributions of behavioral health providers to interprofessional, collaborative treatment for diabetes. We have the following objectives: (1) review the behavioral health complications, risks, burdens, and costs associated with diabetes management and consider the role of behavioral health providers in treating mental health concerns specific to diabetes; (2) highlight two frameworks for incorporating behavioral health into diabetes treatment, and review the empirical support for each; and (3) consider the financial feasibility of integrating behavioral health services into diabetes medical care settings.

Recent Findings

The healthcare field is still in the nascent stages of integrating behavioral health services in endocrinology clinics, but there is growing evidence that integrated behavioral healthcare has the potential to improve disease management and psychological functioning for individuals with chronic medical conditions. Furthermore, as a result of recent changes to the billing structure for behavioral health services in a medical setting, reimbursement rates for behavioral health providers in this capacity have improved considerably.

Summary

If delivered by qualified behavioral health providers using evidence-based guidelines, behavioral health integration has the potential to optimize health outcomes, improve quality of life, and decrease fragmentation of care for patients with diabetes. Future research should focus on developing a financially feasible, empirically supported model of integrated behavioral health and disseminating the model to medical providers treating patients with diabetes.

中文翻译：

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心理健康对糖尿病管理医疗保健贡献的证据：经济和专业考虑

审查目的

本文考虑了行为健康提供者对糖尿病的跨专业协作治疗的潜在贡献。我们有以下目标：(1) 审查与糖尿病管理相关的行为健康并发症、风险、负担和成本，并考虑行为健康提供者在治疗糖尿病特有的心理健康问题中的作用；(2) 强调将行为健康纳入糖尿病治疗的两个框架，并审查每个框架的实证支持；(3) 考虑将行为健康服务整合到糖尿病医疗环境中的财务可行性。

最近的发现

医疗保健领域仍处于将行为健康服务整合到内分泌诊所的初期阶段，但越来越多的证据表明，整合行为医疗保健有可能改善慢性病患者的疾病管理和心理功能。此外，由于医疗环境中行为健康服务的计费结构最近发生了变化，因此行为健康服务提供者的报销率已大大提高。

概括

如果由合格的行为健康提供者使用循证指南提供，行为健康整合有可能优化健康结果，提高生活质量，并减少糖尿病患者护理的碎片化。未来的研究应侧重于开发一种财务上可行、经验支持的综合行为健康模型，并将该模型传播给治疗糖尿病患者的医疗服务提供者。