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迈向“以患者为中心的医疗之家”:澳大利亚全科医疗改革

Moving into the 'patient-centred medical home': reforming Australian general practice.

作者信息

Hayes Paul, Lynch Anthony, Stiffe Jenni

机构信息

a Publications Unit , The Royal Australian College of General Practitioners , East Melbourne , Australia.

出版信息

Educ Prim Care. 2016 Sep;27(5):413-415. doi: 10.1080/14739879.2016.1218300. Epub 2016 Aug 30.

Abstract

The Australian healthcare system is a complex network of services and providers funded and administered by federal, state and territory governments, supplemented by private health insurance and patient contributions. The broad geographical range, complexity and increasing demand within the Australian healthcare sector mean health expenditure is high. Aspects of current funding for the healthcare system have attracted criticism from medical practitioners, patients, representative organisations and independent statutory agencies. In response to the problems in primary care funding in Australia, The Royal Australian College of General Practitioners developed the Vision for general practice and a sustainable healthcare system (the Vision). The Vision presents a plan to improve healthcare delivery in Australia through greater quality, access and efficiency by reorienting how general practice services are funded based on the 'patient-centred medical home' model.

摘要

澳大利亚医疗体系是一个由联邦、州和领地政府资助及管理的复杂服务与提供者网络,私人医疗保险和患者缴费对其起到补充作用。澳大利亚医疗领域广泛的地理范围、复杂性以及不断增长的需求意味着医疗支出很高。医疗体系当前资金投入的一些方面受到了执业医生、患者、代表组织和独立法定机构的批评。为应对澳大利亚初级医疗保健资金投入方面的问题,澳大利亚皇家全科医生学院制定了全科医疗及可持续医疗体系愿景(即“愿景”)。该“愿景”提出了一项计划,通过基于“以患者为中心的医疗之家”模式重新调整全科医疗服务的资金投入方式,以提高澳大利亚医疗服务的质量、可及性和效率。

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