Kim Chang-O, Jang Soong-Nang
Institute of Social Welfare, Sungkonghoe University, Seoul, Korea.
Clinical Research Center, Yangji Hospital, Seoul, Korea.
Ann Geriatr Med Res. 2018 Jun;22(2):62-72. doi: 10.4235/agmr.2018.22.2.62. Epub 2018 Jun 30.
Home-based primary care (HBPC) refers to the type of home care services which provide interdisciplinary primary care services with a comprehensive and continuous manner. Currently, it is getting much attention due to possess potential of converting primary care services from outpatient clinic to home, especially for those who are medically isolated including homebound older adults. This study examined a number of HBPCs introduced in the literature since 1990s, and summarizes the key factors with the analytic framework of 5Ps: purpose, patients, people, process, patterns. The results of this study emphasize that contents of primary care for older population should be different from those of the general population. This paper may be interpreted as the practice guideline of the following policy questions: "How can we design the HBPC if it is introduced in the nearest future?" In the future, it is necessary to have a heated debate concerning what is the most desirable primary care system for older adults.
居家基层医疗（HBPC）是指以全面、持续的方式提供跨学科基层医疗服务的居家护理服务类型。目前，由于其具有将基层医疗服务从门诊转变为居家服务的潜力，尤其是对于那些包括居家老年人在内的医疗孤立人群，它正受到广泛关注。本研究考察了自20世纪90年代以来文献中介绍的一些居家基层医疗模式，并运用5P分析框架（目的、患者、人员、流程、模式）总结了关键因素。本研究结果强调，老年人群基层医疗的内容应与一般人群不同。本文可被解读为以下政策问题的实践指南：“如果在不久的将来引入居家基层医疗，我们该如何设计？”未来，有必要就什么是最适合老年人的基层医疗系统展开激烈辩论。
