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本文引用的文献

1
Budgetary decision making during times of scarcity.资源稀缺时期的预算决策。
J Public Health Manag Pract. 2012 Jul-Aug;18(4):390-2. doi: 10.1097/PHH.0b013e31825b80fa.
2
Opportunity in austerity--a common agenda for medicine and public health.紧缩政策中的机遇——医学与公共卫生的共同议程。
N Engl J Med. 2012 Feb 2;366(5):395-7. doi: 10.1056/NEJMp1112543.
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Accountable care organizations: accountable for what, to whom, and how.accountable care organizations：对什么负责、对谁负责以及如何负责。
JAMA. 2010 Oct 20;304(15):1715-6. doi: 10.1001/jama.2010.1513.
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Patient-centered medical home: renewing primary care.以患者为中心的医疗之家：重塑初级医疗保健
J Oncol Pract. 2008 Nov;4(6):285-6. doi: 10.1200/JOP.0861501.
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Creating incentives to improve population health.制定激励措施以改善人群健康。
Prev Chronic Dis. 2010 Sep;7(5):A93. Epub 2010 Aug 15.
6
The patient-centered medical home: aligning payment to accelerate construction.以患者为中心的医疗之家：调整支付方式以加速建设。
Med Care Res Rev. 2010 Aug;67(4):492-9. doi: 10.1177/1077558710366451. Epub 2010 May 6.
7
A framework for public health action: the health impact pyramid.公共卫生行动框架：健康影响金字塔。
Am J Public Health. 2010 Apr;100(4):590-5. doi: 10.2105/AJPH.2009.185652. Epub 2010 Feb 18.
8
Cardiovascular effect of bans on smoking in public places: a systematic review and meta-analysis.公共场所禁烟的心血管效应：一项系统评价与荟萃分析。
J Am Coll Cardiol. 2009 Sep 29;54(14):1249-55. doi: 10.1016/j.jacc.2009.07.022.
9
Patient-centered medical home: improving health care by shifting the focus to patients.以患者为中心的医疗之家：通过将重点转移到患者身上来改善医疗保健。
Conn Med. 2009 Sep;73(8):479-80.
10
Collecting and sharing data for population health: a new paradigm.收集和共享人群健康数据：一种新范例。
Health Aff (Millwood). 2009 Mar-Apr;28(2):454-66. doi: 10.1377/hlthaff.28.2.454.

实现问责制医疗组织中的人口健康。

Achieving population health in accountable care organizations.

机构信息

Institute for Community Health, Cambridge, MA 02141, USA.

出版信息

Am J Public Health. 2013 Jul;103(7):1163-7. doi: 10.2105/AJPH.2013.301254. Epub 2013 May 16.

DOI:10.2105/AJPH.2013.301254
PMID:23678910
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3682617/
Abstract

Although "population health" is one of the Institute for Healthcare Improvement's Triple Aim goals, its relationship to accountable care organizations (ACOs) remains ill-defined and lacks clarity as to how the clinical delivery system intersects with the public health system. Although defining population health as "panel" management seems to be the default definition, we called for a broader "community health" definition that could improve relationships between clinical delivery and public health systems and health outcomes for communities. We discussed this broader definition and offered recommendations for linking ACOs with the public health system toward improving health for patients and their communities.

摘要

虽然“人群健康”是医疗改善研究所的三重目标之一，但它与问责制医疗组织（ACO）的关系仍未明确界定，也不清楚临床提供系统与公共卫生系统如何交叉。虽然将人群健康定义为“小组”管理似乎是默认定义，但我们呼吁采用更广泛的“社区健康”定义，以改善临床提供系统和公共卫生系统与社区健康结果之间的关系。我们讨论了这个更广泛的定义，并提出了将 ACO 与公共卫生系统联系起来以改善患者及其社区健康的建议。