Healthcare transformation, IBM, Somers, NY, USA.
Health Aff (Millwood). 2010 May;29(5):791-8. doi: 10.1377/hlthaff.2010.0084.
A multi-stakeholder movement for primary care renewal and reform has emerged in the United States, out of recognition that the achievement of an efficient, effective, and sustainable health system requires a vibrant primary care sector. We describe the case for reform from the perspective of private purchasers, government, consumers, and clinicians; the principles around which these stakeholders have coalesced; the groundswell of primary care reform initiatives taking place across the country; and the prospects for this coalition to reshape the character of U.S. health care on a stronger foundation of primary care.
美国出现了一个多方利益攸关者的基层医疗更新和改革运动，因为人们认识到，要实现一个高效、有效和可持续的卫生系统，就需要一个充满活力的基层医疗部门。我们从私人购买者、政府、消费者和临床医生的角度描述了改革的理由；这些利益攸关方已经凝聚在一起的原则；全国各地正在开展的基层医疗改革举措的浪潮；以及这个联盟重塑美国医疗保健的前景，使其在基层医疗的更坚实基础上具有更强的特色。
