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以患者为中心的运动。

The patient-centered movement.

作者信息

Capko Judy

出版信息

J Med Pract Manage. 2014 Jan-Feb;29(4):238-42.

Abstract

Patient-centered care has been embraced by government, healthcare leaders, and major insurance plans. This movement began more than 10 years ago, but has expanded considerably in an effort to improve patient outcomes and control healthcare expenses. It is the focus of new payment models that pay physicians and hospitals based on clinical outcomes and patient satisfaction. Efforts contributing to this movement place great importance on the patient visit and interaction with the provider and staff. This includes how well they communicate with and engage patients, the choices they give patients, whether they involve patients in decision-making, and how they build a strong clinical partnership between physician and patients. Recognition programs have been created to give physicians the tools needed to accomplish this goal, including The Patient-Centered Medical Home and the Patient-Centered Specialty Practice. The anticipated gain is population health management and reduced capital expense for medical services. The patient-centered movement has gained momentum, will be watched closely, and is expected to revolutionize the healthcare delivery system in America.

摘要

以患者为中心的医疗模式已得到政府、医疗保健领导者以及各大保险计划的认可。这一运动始于十多年前,但为了改善患者治疗效果并控制医疗费用,其规模已大幅扩大。它是新支付模式的重点,这些模式根据临床结果和患者满意度向医生和医院支付费用。推动这一运动的努力非常重视患者就诊以及与医疗服务提供者和工作人员的互动。这包括他们与患者沟通和互动的程度、给予患者的选择、是否让患者参与决策,以及他们如何在医生和患者之间建立牢固的临床伙伴关系。已经设立了认可计划,为医生提供实现这一目标所需的工具,包括以患者为中心的医疗之家和以患者为中心的专科诊疗。预期收益是人群健康管理和降低医疗服务的资本支出。以患者为中心的运动势头正劲,将受到密切关注,预计还将给美国的医疗服务提供体系带来变革。

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