Hansen Elizabeth Rose, Eden Aimee R, Peterson Lars E, Bishop Elizabeth M, Phillips Robert L
Department of Research & Policy, American Board of Family Medicine, Lexington, Kentucky (Ms Hansen and Drs Eden, Peterson, and Bishop); Department of Family and Community Medicine, University of Kentucky, Lexington (Dr Peterson); and Center for Professionalism and Value in Health Care, Washington, District of Columbia (Dr Phillips).
J Ambul Care Manage. 2019 Apr/Jun;42(2):92-104. doi: 10.1097/JAC.0000000000000269.
To help health care practices transition away from fee-for-service reimbursement and toward value-based payment, the Transforming Clinical Practice Initiative was launched in October 2015. It was designed to provide clinicians support through peer-based Practice Transformation Networks (PTNs). A group of American Board of Family Medicine board-certified family physicians enrolled in PTNs described their expectations of and experiences with PTN participation; we analyzed open-text comments. Physicians expected and experienced PTN support in informatics and data, team building, and workflow and care coordination; however, expectations regarding patient care and engagement, costs and payment reform, and population and panel health were described less frequently.
为帮助医疗保健机构从按服务收费的报销模式转向基于价值的支付模式,“临床实践转型倡议”于2015年10月启动。其旨在通过基于同行的实践转型网络(PTN)为临床医生提供支持。一组参加PTN的美国家庭医学委员会认证的家庭医生描述了他们对参与PTN的期望和经历;我们分析了开放式文本评论。医生期望并体验到PTN在信息学和数据、团队建设以及工作流程与护理协调方面的支持;然而,关于患者护理与参与、成本和支付改革以及人群和小组健康方面的期望提及较少。