初级保健的团队模式。
The teamlet model of primary care.
作者信息
Bodenheimer Thomas, Laing Brian Yoshio
机构信息
Department of Family and Community Medicine, University of California, San Francisco, Calif 94110, USA.
出版信息
Ann Fam Med. 2007 Sep-Oct;5(5):457-61. doi: 10.1370/afm.731.
Abstract
The 15-minute visit does not allow the physician sufficient time to provide the variety of services expected of primary care. A teamlet (little team) model of care is proposed to extend the 15-minute physician visit. The teamlet consists of 1 clinician and 2 health coaches. A clinical encounter includes 4 parts: a previsit by the coach, a visit by the clinician together with the coach, a postvisit by the coach, and between-visit care by the coach. Medical assistants or other practice personnel would require retraining to assume the health coach role. Some organizations have instituted aspects of the teamlet model. Primary care practices interested in trying out the teamlet concept need to train 2 health coaches for each full-time equivalent clinician to ensure smooth patient flow.
摘要
15分钟的就诊时间不足以让医生有足够的时间提供初级保健所期望的各种服务。有人提出了一种小团队护理模式来延长医生15分钟的就诊时间。小团队由1名临床医生和2名健康教练组成。一次临床诊疗包括4个部分：教练的就诊前准备、临床医生与教练共同进行的就诊、教练的就诊后跟进以及教练的就诊间隔期护理。医疗助理或其他执业人员需要重新培训以承担健康教练的角色。一些机构已经采用了小团队模式的某些方面。有兴趣尝试小团队概念的初级保健机构需要为每一名全职等效临床医生培训2名健康教练，以确保患者流程顺畅。
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