Confronting The Growing Burden Of Chronic Disease: Can The US Health Care Workforce Do The Job?

Confronting The Growing Burden Of Chronic Disease: Can The US Health Care Workforce Do The Job?
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DOI:
10.1377/hlthaff.28.1.64
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发表时间:
2009-01-01
期刊:
影响因子:
9.7
通讯作者:
Bennett, Heather D.
Bennett, Heather D.
中科院分区:
医学1区
文献类型:
--
作者:
Bodenheimer, Thomas;Chen, Ellen;Bennett, Heather D.

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美国的慢性疾病负担正在增加,并且在少数民族和低收入人群中更为明显:2005年,1.33亿美国人患有至少一种慢性疾病。慢性病的预防和管理最好由初级保健和公共卫生领域的多学科小组来完成。然而,预计未来的保健工作人员不会包括能够为这类小组配备人员的适当人员组合。为了应对日益增长的慢性疾病负担,需要更多的跨学科初级保健工作人员,初级保健的报酬应奖励纳入多学科团队的做法。[卫生事务28,no. 1]1 (2009): 64-74;10.1377 / hlthaff.28.1.64]
The U.S. chronic illness burden is increasing and is felt more strongly in minority and low-income populations: in 2005, 133 million Americans had at least one chronic condition. Prevention and management of chronic disease are best performed by multidisciplinary teams in primary care and public health. However, the future health care workforce is not projected to include an appropriate mix of personnel capable of staffing such teams. To prepare for the growing chronic disease burden, a larger interdisciplinary primary care workforce is needed, and payment for primary care should reward practices that incorporate multidisciplinary teams. [Health Affairs 28, no. 1 (2009): 64-74; 10.1377/hlthaff.28.1.64]