Associate Professor, Division of Clinical Sciences, Northern Ontario School of Medicine, Thunder Bay, ON, Canada.
Can J Rural Med. 2021 Jan-Mar;26(1):7-13. doi: 10.4103/CJRM.CJRM_103_19.
Primary care reform in Ontario that provides accessible, comprehensive patient-centred care has been a work in progress for more than a decade. With the recent emergence of Ontario Health Teams and the conclusion of the Rural Health Hub (RHH) pilot project, insight into the philosophy, culture and expectations of rural and remote centres with regard to primary care delivery is required. The concept of the patient medical home (PMH) and the RHH offers frameworks that emphasise positive attributes towards quality care systems - continuity, accessibility, comprehensiveness and localisation of services and funding for system efficiency.
The application of these frameworks to rural and remote centres was explored via semi-directed face-to-face and phone interviews with physicians, patients and healthcare administrators at six rural centres in Northern Ontario.
Continuity of care, local integration and healthcare culture reform were cited by participants as the most important aspects of optimisation of primary care in their environments.
These concepts support the RHH and PMH models and their further implementation as part of healthcare system transformation in Northern Ontario.
安大略省的初级保健改革提供了可及、全面的以患者为中心的护理，这一工作已经进行了十多年。随着安大略省健康团队的出现和农村健康中心（RHH）试点项目的结束，需要了解农村和偏远中心在提供初级保健方面的理念、文化和期望。患者医疗之家（PMH）和 RHH 的概念提供了强调优质护理系统的积极属性的框架——连续性、可及性、综合性以及服务和资金的本地化，以提高系统效率。
通过在安大略省北部的六个农村中心对医生、患者和医疗保健管理人员进行半定向面对面和电话访谈，探讨了这些框架在农村和偏远中心的应用。
参与者认为，医疗护理的连续性、当地的整合以及医疗保健文化的改革是优化其环境中初级保健的最重要方面。
这些概念支持 RHH 和 PMH 模型，以及它们作为安大略省北部医疗保健系统转型的一部分的进一步实施。
