Primary Care and Health Reform
Primary Care and Health Reform
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DOI：
10.1002/msj.21335
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发表时间：
2012-09-01
影响因子：
--
通讯作者：
Shuman, Saskia
中科院分区：
文献类型：
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作者：
Calman, Neil S.;Golub, Maxine;Shuman, Saskia
飞涨的医疗保健费用给我们的人民和我们的经济带来了负担，但医疗保健指标显示，我们花的钱收效甚微。联邦和州政府，沿着公共卫生专家和政策制定者，正在提出一系列新的倡议来寻找解决方案。《病人保护和平价医疗法》旨在解决医疗保健的质量和可及性问题，同时降低其成本。本文概述了《平价医疗法案》支持的模式，这些模式解决了三重目标中的一个或多个目标：为个人提供更好的医疗保健，改善社区的健康状况，降低医疗保健成本。下文所述的模式依赖于初级保健的核心原则：全面、协调和持续的初级保健;预防性保健;以及旨在促进保健提供者之间的沟通、加强保健协调、尽量减少服务重复和允许报告质量的先进的保健信息技术的实施。这些模式将支持更好的医疗保健并降低获得医疗保健服务的人们的成本，但不会解决整个社区的健康结果。卫生保健专业人员与社区组织和倡导者合作，还必须解决最广泛意义上影响健康的条件，以真正改善我们社区的健康并降低医疗保健成本。Mt Sinai J Med 79：527534，2012. (c)2012年西奈山医学院
Skyrocketing health care costs are burdening our people and our economy, yet health care indicators show how little we are achieving with the money we spend. Federal and state governments, along with public-health experts and policymakers, are proposing a host of new initiatives to find solutions. The Patient Protection and Affordable Care Act is designed to address both the quality and accessibility of health care, while reducing its cost. This article provides an overview of models supported by the Affordable Care Act that address one or more goals of the Triple Aim: better health care for individuals, better health outcomes in the community, and lower health care costs. The models described below rely on the core principles of primary care: comprehensive, coordinated and continuous primary care; preventive care; and the sophisticated implementation of health information technology designed to promote communication between health care providers, enhance coordination of care, minimize duplication of services, and permit reporting on quality. These models will support better health care and reduced costs for people who access health care services but will not address health outcomes in the community at large. Health care professionals, working in concert with community-based organizations and advocates, must also address conditions that influence health in the broadest sense to truly improve the health of our communities and reduce health care costs. Mt Sinai J Med 79:527534, 2012. (c) 2012 Mount Sinai School of Medicine