Objectives: The integration of behavioral health and primary care services may be a way to reduce racial and ethnic inequities in medical and behavioral health care services and outcomes for people of color. We reviewed the evidence pertaining to integrating behavioral health and primary care for people of color and assessed social work’s role and impact on their health outcomes. Method: We systematically searched PubMed, PsycINFO, Social Science Citation Index, and Social Services Abstracts to identify studies of integrated primary and behavioral health care published between 2000 and 2015. English-language publications of randomized controlled trials (RCTs) conducted in the United States focusing on people of color were included in our systematic review. Results: Of the 37 RCTs we reviewed, 7 focused on people of color and examined behavioral health integration in primary care and related health and/or health care utilization outcomes. Six of the studies focused on people of color reported social work involvement, and 5 found that integrated care was associated with improved outcomes. Conclusions: Although benefits are associated with integration of behavioral health and primary care, evidence to suggest that integration per se improves health outcomes for people of color remains limited.

中文翻译：

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行为健康，基层医疗整合和社会工作在改善有色社区健康状况中的作用：系统评价

目标：行为健康和初级保健服务的整合可能是减少种族和族裔在医疗和行为保健服务以及有色人种方面的不公平现象的一种方式。我们审查了与有色人种的行为健康和初级保健相结合的证据，并评估了社会工作的作用及其对他们健康结果的影响。方法：我们系统地搜索了PubMed，PsycINFO，Social Science Citation Index和Social Services Abstracts，以识别2000年至2015年之间发表的综合初级保健和行为保健的研究。在美国进行的英语随机对照试验（RCT）出版物我们的系统评价中包含了针对有色人种的关注。结果：我们审查了37个RCT，7侧重于有色人种，研究了行为健康在基层医疗以及相关健康和/或医疗利用结果中的整合。其中有六项针对有色人种的研究报告了社会工作的参与，而五项研究发现综合护理与改善结局有关。结论：尽管益处与行为健康和初级保健的整合有关，但证据表明整合本身可以改善有色人种的健康结局仍然有限。