Opstelten Wim, Cals Jochen W L, van der Horst Henriëtte E
Huisartsenpraktijk Vondelplein, Amersfoort.
Contact: W. Opstelten (
Ned Tijdschr Geneeskd. 2018 Dec 17;163:D3502.
Relational continuity of care has traditionally been an important core value of primary care. Research shows that relational continuity of care contributes to better patient health. However, due to social changes and an altered organization of our health system, it has become more difficult to put this core value into practice. General practitioners, for example, increasingly work part-time and general practices have become larger-scaled. Within practices, there is also an increase of delegation and specialization, leading to fragmentation of healthcare. A weekly rota involving at least three clinical consultation days for each doctor, the establishment of small general practice teams within a larger organisation, and a reduction in the size of a standard practice can facilitate relational continuity of care. In addition, it is necessary for GPs to concentrate on the core activity of their profession: direct personal care.
传统上，连续性医疗关系一直是初级医疗的重要核心价值。研究表明，连续性医疗关系有助于患者获得更好的健康状况。然而，由于社会变革以及我们卫生系统组织方式的改变，将这一核心价值付诸实践变得更加困难。例如，全科医生越来越多地从事兼职工作，全科诊所的规模也越来越大。在诊所内部，委托和专业化也有所增加，导致医疗服务碎片化。每周为每位医生安排至少三个临床咨询日、在更大的组织内建立小型全科医疗团队以及缩小标准诊所的规模，都有助于实现连续性医疗关系。此外，全科医生有必要专注于其职业的核心活动：直接的个人护理。
