A 2020 vision of patient-centered primary care
A 2020 vision of patient-centered primary care
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DOI：
10.1111/j.1525-1497.2005.0178.x
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发表时间：
2005-10-01
影响因子：
5.7
通讯作者：
Audet, AM
中科院分区：
文献类型：
--
作者：
Davis, K;Schoenbaum, SC;Audet, AM
以患者为中心的护理已经得到了新的突出，它被医学研究所列为6个质量目标之一。以病人为中心的初级保健的七个属性在这里提出，以改善这方面的护理：获得护理，病人参与护理，信息系统，护理协调，综合和全面的团队护理，以病人为中心的护理调查，和公开可用的信息。英联邦基金2003年全国医生和护理质量调查发现，四分之一的初级保健医生目前将这些不同的以病人为中心的属性在他们的做法。要实现显著的改善，就需要建立一个新的初级保健支付体系，将每月的病人小组费用与传统的按服务付费相结合，并为以病人为中心的护理绩效提供新的激励措施。需要做出重大努力来测试这一概念，开发商业案例，提供技术援助和培训，并传播最佳实践，以改变美国的医疗保健。
Patient-centered care has received new prominence with its inclusion by the Institute of Medicine as 1 of the 6 aims of quality. Seven attributes of patient-centered primary care are proposed here to improve this dimension of care: access to care, patient engagement in care, information systems, care coordination, integrated and comprehensive team care, patient-centered care surveys, and publicly available information. The Commonwealth Fund 2003 National Survey of Physicians and Quality of Care finds that one fourth of primary care physicians currently incorporate these various patient-centered attributes in their practices. To bring about marked improvement will require a new system of primary care payment that blends monthly patient panel fees with traditional fee-for-service payment, and new incentives for patient-centered care performance. A major effort to test this concept, develop a business case, provide technical assistance and training, and diffuse best practices is needed to transform American health care.