Knierim Kyle E, Fernald Douglas H, Staton Elizabeth W, Nease Donald E
Department of Family Medicine, University of Colorado, Mail Stop F496, 12631 East 17th Avenue, Aurora, CO 80045, USA.
Department of Family Medicine, University of Colorado, Mail Stop F496, 12631 East 17th Avenue, Aurora, CO 80045, USA.
Prim Care. 2014 Jun;41(2):163-83. doi: 10.1016/j.pop.2014.02.001. Epub 2014 Apr 13.
Prevention plays an important role in achieving the triple aim of decreasing per capita health care costs, improving the health of populations, and bettering the patient experience. Primary care is uniquely positioned to provide preventive services. External forces are aligning to support the transition of primary care from traditional models focused on disease-specific, acute episodes of care to new ways of organizing that are more patient centered, team based, and quality driven. By aligning leadership, building change capacity, and selectively choosing relevant processes to change, those practicing primary care can successfully organize their practice environment to deliver preventive services.
预防在实现降低人均医疗保健成本、改善人群健康状况以及提升患者体验这三大目标方面发挥着重要作用。初级保健在提供预防服务方面具有独特的地位。外部力量正在协同支持初级保健从专注于特定疾病的急性护理发作的传统模式,向更以患者为中心、基于团队且由质量驱动的新组织方式转变。通过协调领导力、建设变革能力以及有选择地挑选相关流程进行变革,从事初级保健工作的人员能够成功地组织其实践环境以提供预防服务。