Tollen Laura, Enthoven Alain, Crosson Francis J, Taylor Nancy, Audet Anne-Marie, Schoen Cathy, Ross Murray
Kaiser Permanente Institute for Health Policy, USA.
Issue Brief (Commonw Fund). 2011 Jun;10:1-18.
The health care delivery system is changing rapidly, with providers forming patient-centered medical homes and exploring the creation of accountable care organizations. Enactment of the Affordable Care Act will likely accelerate these changes. Significant delivery system reforms will simultaneously affect the structures, capabilities, incentives, and outcomes of the delivery system. With so many changes taking place at once, there is a need for a new tool to track progress at the community level. Many of the necessary data elements for a delivery system reform tracking tool are already being collected in various places and by different stakeholders. The authors propose that all elements be brought together in a unified whole to create a detailed picture of delivery system change. This brief provides a rationale for creating such a tool and presents a framework for doing so.
医疗保健服务体系正在迅速变化，医疗服务提供者正在组建以患者为中心的医疗之家，并探索创建可问责医疗组织。《平价医疗法案》的颁布可能会加速这些变化。重大的医疗服务体系改革将同时影响医疗服务体系的结构、能力、激励措施和结果。由于同时发生了如此多的变化，因此需要一种新工具来跟踪社区层面的进展情况。医疗服务体系改革跟踪工具所需的许多数据元素已经在不同地方由不同利益相关者收集。作者建议将所有元素整合在一起，形成一个统一的整体，以全面了解医疗服务体系的变化情况。本简报为创建这样一个工具提供了理论依据，并提出了一个创建框架。
