Assessing primary care in Austria: room for improvement
Assessing primary care in Austria: room for improvement
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DOI：
10.1093/fampra/cms067
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发表时间：
2013-04-01
期刊：
影响因子：
2.2
通讯作者：
Campbell, Stephen M.
中科院分区：
文献类型：
--
作者：
Stigler, Florian L.;Starfield, Barbara;Campbell, Stephen M.
越来越多的证据表明，强有力的初级保健以更低的成本实现了更好的健康。尽管初级保健是可以衡量的，但在许多国家，包括奥地利，对初级保健的发展知之甚少。评估奥地利的初级保健发展。该工具定义了15个初级保健特征，并区分了系统特征和实践特征。每个特征由6名奥地利初级保健专家进行评估，分别给他们的初级保健强度打2(高)、1(中)或0(低)分(最高分：N 30)。奥地利得到7分(满分30分)；没有特征被评为2分，但8分被评为0分。与之前评估的13个国家相比，奥地利在14个国家中排名第10，被归类为低初级保健国家。这项研究提供了关于奥地利初级保健的第一个证据，将其作为薄弱和需要发展的基准。现有评估工具的实际应用可以鼓励其他国家也提供关于其初级保健制度的证据。
There is emerging evidence that strong primary care achieves better health at lower costs. Although primary care can be measured, in many countries, including Austria, there is little understanding of primary care development.Assessing the primary care development in Austria.A primary care assessment tool developed by Barbara Starfield in 1998 was implemented in Austria. This tool defines 15 primary care characteristics and distinguishes between system and practice characteristics. Each characteristic was evaluated by six Austrian primary care experts and rated as 2 (high), 1 (intermediate) or 0 (low) points, respectively, to their primary care strength (maximum score: n 30).Austria received 7 out of 30 points; no characteristic was rated as 2 but 8 were rated as 0. Compared with the 13 previously assessed countries, Austria ranks 10th of 14 countries and is classified as a low primary care country.This study provides the first evidence concerning primary care in Austria, benchmarking it as weak and in need of development. The practicable application of an existing assessment tool can be encouraging for other countries to generate evidence about their primary care system as well.