Primary Care: A Critical Review Of The Evidence On Quality And Costs Of Health Care
Primary Care: A Critical Review Of The Evidence On Quality And Costs Of Health Care
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DOI：
10.1377/hlthaff.2010.0025
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发表时间：
2010-05-01
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：
Friedberg, Mark W.;Hussey, Peter S.;Schneider, Eric C.
尽管对新的国家医疗改革法存在争议，但人们正在形成共识，即加强初级保健将改善健康结果并抑制医疗保健支出的增长。政策讨论暗示了初级保健的三个一般定义：医疗提供者的专业、通常护理来源提供的一系列功能以及卫生系统的定位。我们回顾了将初级保健的每个定义与医疗保健质量、结果和成本联系起来的经验证据。现有证据最直接地支持旨在提高提供者服务初级保健职能的能力以及调整卫生系统以强调提供初级保健的能力的举措。
Despite contentious debate over the new national health care reform law, there is an emerging consensus that strengthening primary care will improve health outcomes and restrain the growth of health care spending. Policy discussions imply three general definitions of primary care: a specialty of medical providers, a set of functions served by a usual source of care, and an orientation of health systems. We review the empirical evidence linking each definition of primary care to health care quality, outcomes, and costs. The available evidence most directly supports initiatives to increase providers' ability to serve primary care functions and to reorient health systems to emphasize delivery of primary care.