Lee Kimberley, Wright Scott M, Wolfe Leah
Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, 5200 Eastern Ave., Mason F. Lord Center Tower, 2nd Floor, Baltimore, 21224, MD, USA.
BMC Fam Pract. 2016 Dec 13;17(1):169. doi: 10.1186/s12875-016-0569-x.
Clinical excellence is the ultimate goal in patient care. Exactly what the clinically excellent primary care physician (PCP) looks like and her characteristics have not been explicitly described. This manuscript serves to illustrate clinical excellence in primary care, using primarily case reports exemplifying physicians delivering holistic and patient-centred care to their patients. With an ever increasing demand for accessible and accountable health care, an understanding of the qualities desirable in primary care providers is now especially relevant.A literature review was conducted to identify compelling stories showing how excellent PCPs care for their patients. In the 2397 published works reviewed, we were able to find case reports and studies that exemplified every domain of the description of clinical excellence proposed and published by the Miller Coulson Academy of Clinical Excellence (MCACE). After reviewing these reports, the authors felt that the domains of excellence, as described by the MCACE, are practically applicable and relevant for primary care physicians. It is our hope that this paper prompts readers to reflect on clinical excellence in primary care.
临床卓越是患者护理的最终目标。临床卓越的初级保健医生(PCP)究竟是什么样的,其特点尚未得到明确描述。本手稿旨在通过主要使用病例报告来说明初级保健中的临床卓越,这些病例报告体现了医生为患者提供全面且以患者为中心的护理。随着对可及且负责的医疗保健需求不断增加,了解初级保健提供者应具备的品质现在尤为重要。进行了一项文献综述,以找出能展示优秀初级保健医生如何照顾患者的引人入胜的故事。在审查的2397篇已发表作品中,我们能够找到病例报告和研究,这些报告和研究例证了米勒·库尔森临床卓越学院(MCACE)提出并发表的临床卓越描述的各个领域。在审查这些报告后,作者认为MCACE所描述的卓越领域对初级保健医生具有实际适用性和相关性。我们希望本文能促使读者思考初级保健中的临床卓越。