Epperly Ted, Bechtel Christine, Sweeney Rosemarie, Greiner Ann, Grumbach Kevin, Schilz Julie, Stream Glen, O'Connor Malachi
Family Medicine Residency of Idaho, Boise, ID.
X4 Health, Washington, DC.
Fam Med. 2019 Feb;51(2):179-184. doi: 10.22454/FamMed.2019.925587.
As America's health care system continues to transform, the foundational importance of primary care becomes more clear. The Joint Principles of the Patient Centered Medical Home are now more than a decade old. As delivery reform continues, the importance of seven essential shared principles have emerged from a dynamic, collaborative, and iterative process of consensus building across multiple stakeholders. These seven principles will help the public, policy makers, payers, physicians, and other clinical providers speak with a unified voice about these core principles that define the enduring essence and value of primary care. The seven shared principles of primary care consist of: (1) person and family centered, (2) continuous, (3) comprehensive and equitable, (4) team based and collaborative, (5) coordinated and integrated, (6) accessible, and (7) high value. When used together, these shared principles provide a solid platform on which to build all further health care reform.
随着美国医疗保健系统不断变革，初级保健的基础性重要性愈发清晰。以患者为中心的医疗之家联合原则已有十多年历史。随着交付改革的持续推进，通过多利益相关方动态、协作且反复的共识构建过程，七项基本共享原则的重要性得以显现。这七项原则将有助于公众、政策制定者、支付方、医生及其他临床提供者就这些定义初级保健持久本质和价值的核心原则发出统一声音。初级保健的七项共享原则包括：（1）以个人和家庭为中心；（2）连续性；（3）全面且公平；（4）基于团队且协作；（5）协调与整合；（6）可及性；（7）高价值。这些共享原则共同使用时，为进一步开展所有医疗保健改革提供了坚实平台。
