Aims, development, and early results of an interdisciplinary primary care initiative to address patient vulnerabilities.
Aims, development, and early results of an interdisciplinary primary care initiative to address patient vulnerabilities.
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DOI：
10.1080/00952990.2020.1832507
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发表时间：
2021-03-04
期刊：
影响因子：
--
通讯作者：
Gordon AJ
中科院分区：
文献类型：
--
作者：
Codell N;Kelley AT;Jones AL;Dungan MT;Valentino N;Holtey AI;Knight TJ;Butz A;Gallop C;Erickson S;Patton J;Hyte-Richins LJ;Rollins BZ;Gordon AJ
在人群层面解决药物使用障碍以及不良健康的社会决定因素是国家医疗保健的一项主要优先事项。一种有望改善患有这些疾病的患者的医疗保健结果的模式是弱势退伍军人创新以患者为中心的医疗团队（PACT）倡议，即VIP——一种跨学科、基于团队的初级医疗服务模式，旨在满足退伍军人健康管理局中弱势患者的需求。VIP为药物使用障碍、精神疾病、健康的社会决定因素以及这些疾病共同发生所导致的护理复杂性的管理建立了一个单一的、综合的初级医疗环境。我们描述了VIP的起源、目标和演变，以提供一个诊所和医疗系统如何在初级医疗诊所框架内解决弱势患者群体问题的示例。虽然持续评估对于了解其对患者结果的影响以及其未来的可持续性和可扩展性至关重要，但VIP作为一种改善成瘾和其他弱势患者护理的新模式是有希望的。
Addressing substance use disorders and social determinants of poor health at a population level is a major national healthcare priority. One promising model to improve healthcare outcomes for patients with these conditions is the Vulnerable Veteran Innovative Patient-Aligned Care Team (PACT) Initiative, or VIP—an interdisciplinary, team-based primary care delivery model designed to address the needs of vulnerable patients in the Veterans Health Administration. VIP establishes a single, integrated primary care environment for the management of substance use disorders, mental illness, social determinants of health, and complexities in care resulting from the co-occurrence of these conditions. We describe the origination, goals, and evolution of the VIP to provide an example of how clinics and health systems can address vulnerable patient populations within a primary care clinic framework. While ongoing evaluation will be essential to understand its impact on patient outcomes and its sustainability and scalability in the future, the VIP holds promise as a novel model to improve care for patients with addiction and other vulnerabilities.
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影响因子：
2.3
作者：
Jones, Audrey L.;Hausmann, Leslie R. M.;Gordon, Adam J.
通讯作者：
Gordon, Adam J.
影响因子：
2.9
作者：
Doyle C;Lennox L;Bell D
通讯作者：
Bell D
影响因子：
6
作者：
Kertesz, Stefan G.;Gordon, Adam, I
通讯作者：
Gordon, Adam, I
影响因子：
3
作者：
Jones, Audrey L.;Hausmann, Leslie R. M.;Gordon, Adam J.
通讯作者：
Gordon, Adam J.
DOI：
10.1186/s13012-015-0256-7
发表时间：
2015-05-08
期刊：
Implementation science : IS
影响因子：
--
作者：
Ober AJ;Watkins KE;Hunter SB;Lamp K;Lind M;Setodji CM
通讯作者：
Setodji CM