Lynn Joanne, Straube Barry M, Bell Karen M, Jencks Stephen F, Kambic Robert T
Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services, Baltimore, MD, USA.
Milbank Q. 2007 Jun;85(2):185-208; discussion 209-12. doi: 10.1111/j.1468-0009.2007.00483.x.
The model discussed in this article divides the population into eight groups: people in good health, in maternal/infant situations, with an acute illness, with stable chronic conditions, with a serious but stable disability, with failing health near death, with advanced organ system failure, and with long-term frailty. Each group has its own definitions of optimal health and its own priorities among services. Interpreting these population-focused priorities in the context of the Institute of Medicine's six goals for quality yields a framework that could shape planning for resources, care arrangements, and service delivery, thus ensuring that each person's health needs can be met effectively and efficiently. Since this framework would guide each population segment across the institute's "Quality Chasm," it is called the "Bridges to Health" model.
健康人群、处于母婴状态人群、患有急性病人群、患有稳定慢性病的人群、患有严重但稳定残疾的人群、濒临死亡健康状况恶化的人群、器官系统功能衰竭晚期人群以及长期虚弱人群。每组对于最佳健康状态都有各自的定义，并且在服务方面也有各自的优先事项。在医学研究所的六项质量目标背景下解读这些以人群为重点的优先事项，会产生一个可用于规划资源、护理安排和服务提供的框架，从而确保能够有效且高效地满足每个人的健康需求。由于这个框架将指导该机构“质量鸿沟”中的每个人群，所以它被称为“通向健康的桥梁”模型。
