In Chronic Condition: Experiences Of Patients With Complex Health Care Needs, In Eight Countries, 2008
In Chronic Condition: Experiences Of Patients With Complex Health Care Needs, In Eight Countries, 2008
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DOI：
10.1377/hlthaff.28.1.w1
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发表时间：
2009-01-01
期刊：
影响因子：
9.7
通讯作者：
Peugh, Jordon
中科院分区：
文献类型：
--
作者：
Schoen, Cathy;Osborn, Robin;Peugh, Jordon
这项2008年对澳大利亚、加拿大、法国、德国、荷兰、新西兰、英国和美国慢性病成年人的调查发现，各国在获得、安全和护理效率方面存在重大差异。联合S.患者由于费用和经历低效、组织不良的护理或错误而处于放弃护理的特别高的风险。荷兰拥有强大的初级保健基础设施，报告了显著的获得和协调方面的积极经验。尽管如此，所有国家在出院或看多名医生时的护理管理方面都存在缺陷。研究结果强调了系统创新的必要性，以改善复杂慢性病患者的预后。[Health Affairs 28，no. 1（2009）：w1-w16（2008年11月13日在线发布; 10.1377/hlthaff.28.1.w1）]
This 2008 survey of chronically ill adults in Australia, Canada, France, Germany, the Netherlands, New Zealand, the United Kingdom, and the United States finds major differences among countries in access, safety, and care efficiency. U. S. patients were at particularly high risk of forgoing care because of costs and of experiencing inefficient, poorly organized care, or errors. The Dutch, who have a strong primary care infrastructure, report notably positive access and coordination experiences. Still, deficits in care management during hospital discharge or when seeing multiple doctors occurred in all countries. Findings highlight the need for system innovations to improve outcomes for patients with complex chronic conditions. [Health Affairs 28, no. 1 (2009): w1-w16 (published online 13 November 2008; 10.1377/hlthaff.28.1.w1)]