Managing chronic illness: physician practices increased the use of care management and medical home processes.
Managing chronic illness: physician practices increased the use of care management and medical home processes.
复制标题
管理慢性病：医生实践增加了护理管理和医疗家庭流程的使用。
DOI：
10.1377/hlthaff.2014.0404
复制
发表时间：
2015
期刊：
影响因子：
9.7
通讯作者：
J. Alexander
中科院分区：
文献类型：
--
作者：
J. Wiley;D. Rittenhouse;S. Shortell;L. Casalino;P. Ramsay;S. Bibi;A. Ryan;Kennon R. Copeland;J. Alexander
对慢性病患者的有效管理对于扭转美国医疗保健支出曲线至关重要，也是医疗改革的关键考验。在本文中，我们使用了 2006 年至 2013 年间三项全国医师执业调查的数据，以确定各种规模的执业机构增加使用与以患者为中心的医疗之家相关的循证护理管理流程的程度，这些流程与针对哮喘、充血性心力衰竭、抑郁症和糖尿病患者的以患者为中心的医疗之家相关。我们发现，随着时间的推移，中小型实践以及大型实践中这些流程的总体使用量出现了相对较大的增长。然而，大型实践平均使用的推荐流程不到一半。我们还确定了使用量增加最多的各个流程，并表明护理管理流程的更多使用与患者体验和临床质量的公开报告以及绩效薪酬呈正相关。
The effective management of patients with chronic illnesses is critical to bending the curve of health care spending in the United States and is a crucial test for health care reform. In this article we used data from three national surveys of physician practices between 2006 and 2013 to determine the extent to which practices of all sizes have increased their use of evidence-based care management processes associated with patient-centered medical homes for patients with asthma, congestive heart failure, depression, and diabetes. We found relatively large increases over time in the overall use of these processes for small and medium-size practices as well as for large practices. However, the large practices used fewer than half of the recommended processes, on average. We also identified the individual processes whose use increased the most and show that greater use of care management processes is positively associated with public reporting of patient experience and clinical quality and with pay-for-performance.
初级保健医生的患者病例数与质量和成本绩效衡量的关系。
DOI：
10.1001/jama.2009.1810
发表时间：
2009
期刊：
JAMA
影响因子：
--
作者：
Nyweide,DavidJ;Weeks,WilliamB;Gottlieb,DanielJ;Casalino,LawrenceP;Fisher,ElliottS
通讯作者：
Fisher,ElliottS