Young Heather M, Nesbitt Thomas S
Betty Irene Moore School of Nursing, UC Davis Health System, Sacramento, CA, 95817, USA.
UC Davis Health System, Davis, CA, USA.
J Gen Intern Med. 2017 Apr;32(4):398-403. doi: 10.1007/s11606-016-3952-3. Epub 2017 Feb 27.
Primary care is the foundation of effective and high-quality health care. The role of primary care clinicians has expanded to encompass coordination of care across multiple providers and management of more patients with complex conditions. Enabling technology has the potential to expand the capacity for primary care clinicians to provide integrated, accessible care that channels expertise to the patient and brings specialty consultations into the primary care clinic. Furthermore, technology offers opportunities to engage patients in advancing their health through improved communication and enhanced self-management of chronic conditions. This paper describes enabling technologies in four domains (the body, the home, the community, and the primary care clinic) that can support the critical role primary care clinicians play in the health care system. It also identifies challenges to incorporating these technologies into primary care clinics, care processes, and workflow.
初级保健是有效和高质量医疗保健的基础。初级保健临床医生的角色已经扩大,包括协调多个医疗服务提供者之间的护理以及管理更多患有复杂病症的患者。支持技术有潜力扩大初级保健临床医生提供综合、可及护理的能力,这种护理能将专业知识传递给患者,并将专科会诊引入初级保健诊所。此外,技术还提供了机会,通过改善沟通和加强慢性病的自我管理,让患者参与到促进自身健康的过程中。本文描述了四个领域(身体、家庭、社区和初级保健诊所)中的支持技术,这些技术可以支持初级保健临床医生在医疗保健系统中发挥的关键作用。它还指出了将这些技术纳入初级保健诊所、护理流程和工作流程所面临的挑战。