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Integrating public health and personal care in a reformed US health care system.将公共卫生和个人护理融入改革后的美国医疗保健系统。
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Changes not for the fainthearted: reorienting health care systems toward health equity through action on the social determinants of health.变革并非易事:通过针对健康的社会决定因素采取行动,使医疗保健系统重新定位以实现健康公平。
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Effect of the implementation of an enterprise-wide Electronic Health Record on productivity in the Veterans Health Administration.企业范围内电子健康记录的实施对退伍军人健康管理局生产力的影响。
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How many are underinsured? Trends among U.S. adults, 2003 and 2007.有多少人保险不足?2003年和2007年美国成年人的趋势。
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Issues in design and implementation in an urban birth cohort study: the Syracuse AUDIT project.城市出生队列研究中的设计与实施问题:锡拉丘兹审计项目
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利用电子技术促进与医疗保健系统无关联的个人的社区和个人健康。

Use of electronic technologies to promote community and personal health for individuals unconnected to health care systems.

机构信息

Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA.

出版信息

Am J Public Health. 2011 Jul;101(7):1163-7. doi: 10.2105/AJPH.2010.300003. Epub 2011 May 12.

DOI:10.2105/AJPH.2010.300003
PMID:21566023
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3110234/
Abstract

Ensuring health care services for populations outside the mainstream health care system is challenging for all providers. But developing the health care infrastructure to better serve such unconnected individuals is critical to their health care status, to third-party payers, to overall cost savings in public health, and to reducing health disparities. Our increasingly sophisticated electronic technologies offer promising ways to more effectively engage this difficult to reach group and increase its access to health care resources. This process requires developing not only newer technologies but also collaboration between community leaders and health care providers to bring unconnected individuals into formal health care systems. We present three strategies to reach vulnerable groups, outline benefits and challenges, and provide examples of successful programs.

摘要

为非主流医疗体系中的人群提供医疗保健服务对所有提供者来说都是一项挑战。但是,为了更好地服务于这些未连接的个体,建立医疗基础设施对于他们的医疗保健状况、第三方支付者、公共卫生整体成本节约以及减少健康差距至关重要。我们日益复杂的电子技术为更有效地接触这一难以接触的群体并增加其获得医疗保健资源的机会提供了有希望的途径。这一过程不仅需要开发新技术,还需要社区领导和医疗保健提供者之间的合作,将未连接的个体纳入正式的医疗保健系统。我们提出了三种接触弱势群体的策略,概述了其益处和挑战,并提供了成功项目的例子。