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医疗之家能否降低癌症发病率和死亡率?

Can the medical home reduce cancer morbidity and mortality?

作者信息

Wender Richard C, Altshuler Marc

机构信息

Department of Family and Community Medicine, Thomas Jefferson University/Jefferson Medical College, Philadelphia, PA 19107, USA.

出版信息

Prim Care. 2009 Dec;36(4):845-58; table of contents. doi: 10.1016/j.pop.2009.07.009.

DOI:10.1016/j.pop.2009.07.009
PMID:19913189
Abstract

Addressing our current health care crisis will demand 2 forms of health care reform: reform of health care coverage and transformation of health care delivery. Most policy makers have accepted that primary care must play a prominent role in a new health care delivery vehicle. A new concept, the medical home, has emerged as a possible model of how primary care can improve performance and help control costs. Although the medical home concept has not yet been applied to cancer care, elements of the concept have the potential to improve cancer prevention efforts and to help coordinate care of individuals diagnosed with cancer. This article explores the possible role of the medical home in the war on cancer.

摘要

应对我们当前的医疗保健危机需要两种形式的医疗改革

医疗保险覆盖范围的改革和医疗服务提供方式的转变。大多数政策制定者都认为,初级保健必须在新的医疗服务提供模式中发挥突出作用。一个新的概念——“医疗之家”已经出现,它可能成为初级保健改善服务绩效并帮助控制成本的一种模式。尽管“医疗之家”的概念尚未应用于癌症护理,但该概念的一些要素有可能改善癌症预防工作,并有助于协调对癌症确诊患者的护理。本文探讨了“医疗之家”在抗癌斗争中可能发挥的作用。

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Can the medical home reduce cancer morbidity and mortality?医疗之家能否降低癌症发病率和死亡率?
Prim Care. 2009 Dec;36(4):845-58; table of contents. doi: 10.1016/j.pop.2009.07.009.
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The group employed model as a foundation for health care delivery reform.该团队采用该模式作为医疗保健服务改革的基础。
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Changes in chronic medication adherence, costs, and health care use after a cancer diagnosis among low-income patients and the role of patient-centered medical homes.癌症诊断后低收入患者慢性药物治疗依从性、成本和医疗保健使用的变化以及以患者为中心的医疗之家的作用。
Cancer. 2020 Nov 1;126(21):4770-4779. doi: 10.1002/cncr.33147. Epub 2020 Aug 11.
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The patient-centered oncology care on health care utilization and cost: A systematic review and meta-analysis.以患者为中心的肿瘤护理对医疗利用和成本的影响:系统评价和荟萃分析。
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Association between medical home enrollment and health care utilization and costs among breast cancer patients in a state Medicaid program.某州医疗补助计划中乳腺癌患者的医疗之家登记与医疗保健利用及费用之间的关联。
Cancer. 2015 Nov 15;121(22):3975-81. doi: 10.1002/cncr.29596. Epub 2015 Aug 19.
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Is medical home enrollment associated with receipt of guideline-concordant follow-up care among low-income breast cancer survivors?参加医疗之家是否与低收入乳腺癌幸存者接受符合指南的后续护理有关?
Med Care. 2013 Jun;51(6):494-502. doi: 10.1097/MLR.0b013e31828d4d0c.