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质量证据增强:专科医生上门服务以改善偏远地区人群的就医机会和治疗效果。

Evidence boost for quality: visiting-specialist services to improve access and outcomes for isolated populations.

出版信息

Healthc Policy. 2008 May;3(4):78-82.

PMID:19377330
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2645163/
Abstract

People living in rural and remote communities often have among the greatest health needs but the most limited access to healthcare services, including specialist care. One solution for increasing access to specialist services is visiting-specialist services or specialist outreach clinics - that is, planned, regular visits by specialist physicians from their usual practice location to see patients in primary care or rural hospital settings. The evidence behind visiting-specialist services was recently summarized in Evidence Boost for Quality, a special subseries of Evidence Boost, produced by the Canadian Health Services Research Foundation to showcase healthcare issues where research indicates a preferred course of action in health services management and policy. To access archived issues of Evidence Boost, visit http://www.chsrf.ca/mythbusters/eb_e.php.

摘要

生活在农村和偏远社区的人们往往有着最为迫切的健康需求,但获得医疗保健服务,包括专科护理的机会却最为有限。增加专科服务可及性的一种解决方案是上门专科服务或专科外展诊所,即专科医生从其日常执业地点进行有计划的定期出诊,以便在基层医疗或农村医院环境中为患者看病。上门专科服务背后的证据最近在《质量证据提升》中进行了总结,《质量证据提升》是由加拿大卫生服务研究基金会制作的《证据提升》特别子系列,旨在展示那些研究表明在卫生服务管理和政策方面有首选行动方案的医疗保健问题。要获取《证据提升》的存档期号,请访问http://www.chsrf.ca/mythbusters/eb_e.php。

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本文引用的文献

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Who will provide secondary care in rural Canada?
Can J Rural Med. 2007 Spring;12(2):67-8.
2
Telehealth and the recruitment and retention of physicians in rural and remote regions: a Delphi study.远程医疗与农村和偏远地区医生的招聘与留用:一项德尔菲研究
Can J Rural Med. 2007 Winter;12(1):30-6.
3
Obstacles and solutions to maintenance of advanced procedural skills for rural and remote medical practitioners in Australia.澳大利亚农村和偏远地区医疗从业者维持先进医疗程序技能的障碍与解决方案。
Rural Remote Health. 2006 Oct-Dec;6(4):502. Epub 2006 Nov 15.
4
Specialist outreach to isolated and disadvantaged communities: a population-based study.针对偏远和弱势社区的专家外展服务:一项基于人群的研究。
Lancet. 2006 Jul 8;368(9530):130-8. doi: 10.1016/S0140-6736(06)68812-0.
5
Specialist outreach clinics in primary care and rural hospital settings.基层医疗和农村医院环境中的专科外展诊所。
Cochrane Database Syst Rev. 2004;2003(1):CD003798. doi: 10.1002/14651858.CD003798.pub2.
6
Outreach and improved access to specialist services for indigenous people in remote Australia: the requirements for sustainability.为澳大利亚偏远地区的原住民提供外展服务并改善其获得专科服务的机会:可持续性的要求。
J Epidemiol Community Health. 2002 Jul;56(7):517-21. doi: 10.1136/jech.56.7.517.
7
Obstacles to effective treatment of depression: a general practice perspective.抑郁症有效治疗的障碍:全科医学视角
Fam Pract. 2002 Feb;19(1):45-52. doi: 10.1093/fampra/19.1.45.
8
Cost-effectiveness of a collaborative care program for primary care patients with persistent depression.针对患有持续性抑郁症的初级保健患者的协作护理计划的成本效益。
Am J Psychiatry. 2001 Oct;158(10):1638-44. doi: 10.1176/appi.ajp.158.10.1638.
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A randomized effectiveness trial of collaborative care for patients with panic disorder in primary care.一项针对基层医疗中惊恐障碍患者的协作护理随机有效性试验。
Arch Gen Psychiatry. 2001 Sep;58(9):869-76. doi: 10.1001/archpsyc.58.9.869.
10
Improving access to specialist care for remote Aboriginal communities: evaluation of a specialist outreach service.改善偏远原住民社区获得专科护理的机会:一项专科外展服务评估
Med J Aust. 2001 May 21;174(10):507-11. doi: 10.5694/j.1326-5377.2001.tb143400.x.