Ten Common Structures and Processes of High-Performing Primary Care Practices.
Ten Common Structures and Processes of High-Performing Primary Care Practices.
复制标题
高绩效初级保健实践的十种常见结构和过程。
DOI：
10.1097/phh.0000000000001451
复制
发表时间：
2022-03-01
期刊：
影响因子：
--
通讯作者：
Berry CA
中科院分区：
文献类型：
--
作者：
Nguyen AM;Paul MM;Shelley DR;Albert SL;Cohen DJ;Bonsu P;Wyte-Lake T;Blecker S;Berry CA
补充数字内容在文本中可用。结构（护理提供的背景）和过程（旨在提供护理的行动）被设定为驱动患者的结果。尽管有几十年的初级保健研究，仍然缺乏证据连接特定的结构/过程的患者的结果，以确定优先实施的众多建议的结构/过程。本研究的目的是确定结构/过程中最常见的高性能的慢性病护理管理和预防的初级保健实践。我们对全国22个高绩效的初级保健实践进行了关键的线人访谈。我们确定了这些实践中最常见的10种结构/流程，这些结构/流程在很大程度上实现了2个核心功能：动员工作人员进行患者外展，并帮助实践避免护理差距。考虑到实施和维护众多结构/流程的成本，我们的研究为提供者提供了一个起始列表，以优先考虑，并为研究人员提供了一个起始列表，以进一步研究对患者结局的具体影响。
Supplemental Digital Content is Available in the Text. Structures (context of care delivery) and processes (actions aimed at delivery care) are posited to drive patient outcomes. Despite decades of primary care research, there remains a lack of evidence connecting specific structures/processes to patient outcomes to determine which of the numerous recommended structures/processes to prioritize for implementation. The objective of this study was to identify structures/processes most commonly present in high-performing primary care practices for chronic care management and prevention. We conducted key informant interviews with a national sample of 22 high-performing primary care practices. We identified the 10 most commonly present structures/processes in these practices, which largely enable 2 core functions: mobilizing staff to conduct patient outreach and helping practices avoid gaps in care. Given the costs of implementing and maintaining numerous structures/processes, our study provides a starting list for providers to prioritize and for researchers to investigate further for specific effects on patient outcomes.