A primary care home for Americans - Putting the house in order
A primary care home for Americans - Putting the house in order
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DOI：
10.1001/jama.288.7.889
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发表时间：
2002-08-21
影响因子：
120.7
通讯作者：
Bodenheimer, T
中科院分区：
文献类型：
--
作者：
Grumbach, K;Bodenheimer, T
这篇文章是初级保健系列文章的第一篇，概述了初级保健今天面临的严峻挑战。在美国，大多数人都希望有一个初级保健“家”，以提供和协调他们的医疗保健需求。然而，初级保健受到医生压力的威胁，在管理慢性病方面表现不佳，以及无法提供及时和可靠的连续性护理。需要进行根本性的重新设计，以改善医疗服务的可及性和质量，同时减轻医生的工作量，而不会导致医疗费用的大幅增加。
This article-the first in a series on primary care outlines the daunting challenges facing primary care today. Most people in the United States desire a primary care "home" to provide for and coordinate their health care needs. Yet primary care is endangered by physician stress, inadequate performance in managing chronic illness, and inability to provide prompt access and reliable continuity of care. Fundamental redesign is needed to improve access to and quality of care while easing physicians' workload without causing major increases in health care costs.