How the Affordable Care Act Will Strengthen the Nation's Primary Care Foundation
How the Affordable Care Act Will Strengthen the Nation's Primary Care Foundation
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DOI：
10.1007/s11606-011-1720-y
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发表时间：
2011-10-01
影响因子：
5.7
通讯作者：
Stremikis, Kristof
中科院分区：
文献类型：
--
作者：
Davis, Karen;Abrams, Melinda;Stremikis, Kristof
随着国家转向实施《患者保护和平价医疗法案》，实现改革的潜力将需要美国医疗保健提供系统的重大转变。为此，新法律寻求通过提高提供者的报销率和使用创新的交付模式（如以患者为中心的医疗之家）来加强国家的初级保健基础。有证据表明，通过增加获得初级保健服务的机会，减少行政纠纷和负担，以及促进整个连续护理过程的协调，这些战略可以使患者和提供者都获得实质性利益。如果成功实施，《平价医疗法案》有可能重新调整卫生系统内部的激励机制，并为提供高价值、以患者为中心的初级保健服务的提供者创造机会。这样的转变可能会给病人带来更好的结果，提高医生的工作满意度，并鼓励国家的医疗支出达到更可持续的水平。
As the country turns toward implementation of the Patient Protection and Affordable Care Act, realizing the potential of reform will require significant transformation of the American system of health care delivery. To that end, the new law seeks to strengthen the nation's primary care foundation through enhanced reimbursement rates for providers and the use of innovative delivery models such as patient-centered medical homes. Evidence suggests that these strategies can return substantial benefits to both patients and providers by increasing access to primary care services, reducing administrative hassles and burdens, and facilitating coordination across the continuum of care. If successfully implemented, the Affordable Care Act has the potential to realign incentives within the health system and create opportunities for providers to be rewarded for delivering high value, patient-centered primary care. Such a transformation could lead to better outcomes for patients, increase job satisfaction among physicians and encourage more sustainable levels of health spending for the nation.