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有组织犯罪对无组织医疗保健的启示。

Insights From Organized Crime for Disorganized Health Care.

作者信息

Wasson John H

机构信息

Medicine and Community and Family Medicine, Dartmouth-Geisel School of Medicine, Lebanon, New Hampshire.

出版信息

J Ambul Care Manage. 2019 Apr/Jun;42(2):138-146. doi: 10.1097/JAC.0000000000000273.

DOI:10.1097/JAC.0000000000000273
PMID:30768432
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7329242/
Abstract

During college and medical school, the author's summer employment acquainted him with members of organized crime families. After a full career as a primary care clinician and geriatrician with research on improving health care delivery, the author opines that several insights from organized crime should be of interest to health care professionals: (1) don't damage the host; (2) protect the brand; and (3) lead necessary adaption. From these insights, the author presents symptoms of failure evidenced by the US health care system, followed by several adaptations that would reduce the system's costs, improve its image, and address future challenges.

摘要

在大学和医学院期间,作者暑期打工时结识了有组织犯罪家族的成员。在经历了作为初级保健临床医生和老年病医生的完整职业生涯,并开展了关于改善医疗服务提供的研究之后,作者认为,有组织犯罪的几点见解应该会引起医疗保健专业人员的兴趣:(1)不要损害宿主;(2)保护品牌;(3)引领必要的适应。基于这些见解,作者列举了美国医疗保健系统出现故障的症状,随后提出了一些能降低系统成本、改善其形象并应对未来挑战的适应性措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d838/7329242/b1256c67a9aa/jamcm-42-138-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d838/7329242/73eb7987435c/jamcm-42-138-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d838/7329242/b1256c67a9aa/jamcm-42-138-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d838/7329242/73eb7987435c/jamcm-42-138-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d838/7329242/b1256c67a9aa/jamcm-42-138-g002.jpg

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Impact of Primary Care Intensive Management on High-Risk Veterans' Costs and Utilization.初级保健强化管理对高危退伍军人成本和医疗服务利用的影响。
Ann Intern Med. 2018 Oct 2;169(7):514. doi: 10.7326/L18-0460.
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Low-Dose Combination Blood Pressure Pharmacotherapy to Improve Treatment Effectiveness, Safety, and Efficiency.低剂量联合血压药物治疗以提高治疗效果、安全性和效率。
JAMA. 2018 Aug 14;320(6):552-554. doi: 10.1001/jama.2018.10649.
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Individual and Institutional Corruption in European and US Healthcare: Overview and Link of Various Corruption Typologies.欧洲和美国医疗保健中的个人和机构腐败:各种腐败类型学的概述和联系。
Appl Health Econ Health Policy. 2018 Jun;16(3):289-302. doi: 10.1007/s40258-018-0386-6.
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Validation of the What Matters Index: A brief, patient-reported index that guides care for chronic conditions and can substitute for computer-generated risk models.重要事项指数的验证:一个简短的、患者报告的指数,用于指导慢性病护理并可替代计算机生成的风险模型。
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