Primary Care Physicians' Role In Coordinating Medical And Health-Related Social Needs In Eleven Countries
Primary Care Physicians' Role In Coordinating Medical And Health-Related Social Needs In Eleven Countries
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DOI：
10.1377/hlthaff.2019.01088
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发表时间：
2020-01-01
期刊：
影响因子：
9.7
通讯作者：
Schneider, Eric C.
中科院分区：
文献类型：
--
作者：
Doty, Michelle M.;Tikkanen, Roosa;Schneider, Eric C.
与其他几个高收入国家的同行一样，美国的初级保健医生越来越多地承担着协调服务的任务，这些服务不仅由专家和医院提供，还由家庭护理专业人员和社会服务机构提供。为了为改善护理协调提供信息，2019年英联邦基金国际初级保健医生卫生政策调查询问了11个高收入国家的初级保健医生，询问他们与专家、跨护理环境和社会服务提供者协调患者医疗护理的能力。与其他国家的医生相比，相当大比例的美国医生没有定期收到及时的通知或管理专家，下班后护理中心，急诊室或医院正在进行的护理所需的信息。包括美国在内的少数国家的初级保健实践并没有在实践之外以电子方式定期交换信息。表现最好的国家证明了改善初级保健和其他保健场所之间双向沟通的可行性。接受调查的国家都面临着与社会服务提供者协调的挑战，调查结果要求找到支持初级保健医生的解决方案。
Primary care physicians in the US, like their colleagues in several other high-income countries, are increasingly tasked with coordinating services delivered not just by specialists and hospitals but also by home care professionals and social service agencies. To inform efforts to improve care coordination, the 2019 Commonwealth Fund International Health Policy Survey of Primary Care Physicians queried primary care physicians in eleven high-income countries about their ability to coordinate patients' medical care with specialists, across settings of care, and with social service providers. Compared to physicians in other countries, substantial proportions of US physicians did not routinely receive timely notification or the information needed for managing ongoing care from specialists, after-hours care centers, emergency departments, or hospitals. Primary care practices in a handful of countries, including the US, are not routinely exchanging information electronically outside the practice. Top-performing countries demonstrate the feasibility of improving two-way communication between primary care and other sites of care. The surveyed countries share the challenge of coordinating with social service providers, and the results call for solutions to support primary care physicians.