Alpert Medical School, Brown University, Providence, RI, USA.
Health Aff (Millwood). 2010 May;29(5):779-84. doi: 10.1377/hlthaff.2010.0045.
The gap between the supply of primary care physicians and the demand for primary care continues to grow. Primary care practices must find a way to increase their patient capacity without sacrificing quality of care or adding more work to already overburdened physicians. A transformed primary care practice addressing these issues must redefine the physician role such that the physician no longer sees all patients assigned to the practice but acts as a leader for a well-trained, highly functioning primary care team. The team's overall goal would be to advance the health of an entire patient panel. New payment models are among changes that will be central to this transformation.
初级保健医生的供应与初级保健的需求之间的差距继续扩大。初级保健实践必须找到一种方法来增加患者的容量,而不牺牲护理质量或增加已经负担过重的医生的工作量。为了解决这些问题,转型后的初级保健实践必须重新定义医生的角色,使医生不再看所有分配给实践的患者,而是作为一个经过良好培训、高效运作的初级保健团队的领导者。团队的总体目标是提高整个患者群体的健康水平。新的支付模式是这一转变的核心。