高效基层医疗的10个组成要素。
The 10 building blocks of high-performing primary care.
作者信息
Bodenheimer Thomas, Ghorob Amireh, Willard-Grace Rachel, Grumbach Kevin
机构信息
Center for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California.
出版信息
Ann Fam Med. 2014 Mar-Apr;12(2):166-71. doi: 10.1370/afm.1616.
Our experiences studying exemplar primary care practices, and our work assisting other practices to become more patient centered, led to a formulation of the essential elements of primary care, which we call the 10 building blocks of high-performing primary care. The building blocks include 4 foundational elements-engaged leadership, data-driven improvement, empanelment, and team-based care-that assist the implementation of the other 6 building blocks-patient-team partnership, population management, continuity of care, prompt access to care, comprehensiveness and care coordination, and a template of the future. The building blocks, which represent a synthesis of the innovative thinking that is transforming primary care in the United States, are both a description of existing high-performing practices and a model for improvement.
我们对典范初级保健实践的研究经验，以及我们协助其他实践变得更以患者为中心的工作，促成了初级保健基本要素的形成，我们将其称为高效初级保健的10个基石。这些基石包括4个基础要素——积极的领导力、数据驱动的改进、患者注册管理和团队式护理，它们有助于其他6个基石的实施，即患者与团队的伙伴关系、人群管理、护理连续性、及时获得护理、全面性和护理协调，以及未来的模板。这些基石代表了正在改变美国初级保健的创新思维的综合，既是对现有高效实践的描述，也是改进的模型。
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