Gatter R A, Klein B J
Lovelace Health Systems, Albuquerque, NM 87108, USA.
Med Interface. 1996 Aug;9(8):84-6, 90.
Practice guidelines, education, consensus building, and extensive communication were the tools used in developing a musculoskeletal care system. Primary care physicians directed patient care using practice guidelines for common musculoskeletal conditions. Patient education and empowerment were emphasized. Specialist consultations were made available by telephone/voicemail to advise primary care physicians regarding treatment plans and the need for specialty referrals. Significant reductions in medical service utilization for this patient population were achieved while high levels of patient satisfaction were maintained. Such integrated systems are likely to work well within other MCOs.
实践指南、教育、共识建立以及广泛的沟通是用于开发肌肉骨骼护理系统的工具。初级保健医生根据常见肌肉骨骼疾病的实践指南指导患者护理。强调了患者教育和赋权。通过电话/语音邮件提供专科会诊，以便就治疗计划和专科转诊需求向初级保健医生提供建议。在保持高水平患者满意度的同时，该患者群体的医疗服务利用率显著降低。这种综合系统可能在其他管理式医疗组织中运作良好。
