Quality Enhancement Research Initiative (QUERI), Veterans Heath Administration, U.S. Department of Veterans Affairs, Washington DC, USA.
Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA.
Transl Behav Med. 2018 May 23;8(3):515-521. doi: 10.1093/tbm/ibx084.
The U.S. healthcare system is changing, spurred on by increasing use of information technologies, changes in legislation and policy, and consumer demand for more convenient, timely, and patient-centered care. However, the current healthcare system is not prepared to maximize the benefits of these changes to optimize health outcomes for patients with chronic conditions, leaving many to fall through the cracks. New models of care coordination that align clinical activities are needed so that patients receive the right care at the right time. The goal of this commentary is to outline a research agenda for care coordination, drawing upon lessons learned from the VA healthcare system in which care coordination is enhanced through the application of health policy, population health/technology, and implementation science.
美国的医疗保健系统正在发生变化，这主要是由于信息技术的广泛应用、立法和政策的变化，以及消费者对更方便、及时和以患者为中心的医疗服务的需求所推动。然而，当前的医疗保健系统还没有做好充分准备，无法充分利用这些变化带来的好处，从而优化慢性病患者的健康结果，导致许多患者的需求无法得到满足。需要新的临床活动协调模式，以便患者在适当的时间得到适当的护理。本文的目的是概述协调护理的研究议程，借鉴退伍军人事务部医疗保健系统的经验教训，该系统通过应用卫生政策、人口健康/技术和实施科学来增强护理协调。
