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一种理解和实施以患者为中心的护理的系统方法。

A Systematic Approach to Understanding and Implementing Patient-Centered Care.

作者信息

Stollenwerk Diane, Kennedy Lauren Birchfield, Hughes Lauren S, O'Connor Malachi

机构信息

StollenWerks, Baltimore, MD.

Neighborhood Villages, Washington, DC.

出版信息

Fam Med. 2019 Feb;51(2):173-178. doi: 10.22454/FamMed.2019.320829.

Abstract

In 2014, Family Medicine for America's Health (FMAHealth) began implementing a specialty-wide strategic plan. The FMAHealth Board of Directors created an Engagement Tactic Team and charged the team with two major objectives: (1) to engage patients as partners in transforming primary care, and (2) to strengthen working alliances with other primary care professions and key stakeholders to speak with a unified voice for primary care. The team's first objective sought to engage patients as partners to achieve the triple aim. The second objective required the team to explore how best to collaborate with others to align on core values of high-functioning primary care.When it comes to realizing the promise of patient-centered care, aspirational strategic objectives are often easier to declare than to implement. As the team grappled with its charge, it discovered that the approach to achieving each objective became as important as the actions required to accomplish them. The team recognized the value of taking ample time to build an approach to delivering patient-centered care that could be sustained and scaled over time to achieve the two objectives.The team ultimately settled on three projects that leveraged collaborative partnerships with organizations inside and outside the specialty to better understand and advance patient-centered care at three levels: practice transformation, organizational governance, and policy making.

摘要

2014年,美国健康家庭医学组织(FMAHealth)开始实施一项全专科战略计划。FMAHealth董事会成立了一个参与策略团队,并赋予该团队两个主要目标:(1)让患者成为初级保健转型的合作伙伴;(2)加强与其他初级保健专业和关键利益相关者的工作联盟,以便为初级保健发出统一声音。该团队的首要目标是让患者成为合作伙伴以实现三重目标。第二个目标要求该团队探索如何最好地与他人合作,在高效能初级保健的核心价值观上达成一致。在实现以患者为中心的医疗承诺方面,雄心勃勃的战略目标往往说起来容易做起来难。当该团队努力完成其任务时,它发现实现每个目标的方法与实现这些目标所需的行动同样重要。该团队认识到花足够时间建立一种提供以患者为中心的医疗的方法的价值,这种方法可以随着时间的推移持续下去并扩大规模以实现这两个目标。该团队最终选定了三个项目,这些项目利用了与专科内外组织的合作关系,以便在实践转型、组织治理和政策制定三个层面更好地理解和推进以患者为中心的医疗。

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