制定措施以获取初级保健的真正价值。
Developing measures to capture the true value of primary care.
作者信息
Olde Hartman Tim C, Bazemore Andrew, Etz Rebecca, Kassai Ryuki, Kidd Michael, Phillips Robert L, Roland Martin, van Boven Kees, van Weel Chris, Goodyear-Smith Felicity
机构信息
Radboud Institute of Health Sciences, Department of Primary and Community Care, Radboud University Nijmegen, Nijmegen, The Netherlands
SVP for Research & Policy, American Board of Family Medicine; Co-Director, Center for Professionalism & Value in Healthcare, Lexington, USA.
出版信息
BJGP Open. 2021 Apr 26;5(2). doi: 10.3399/BJGPO.2020.0152. Print 2021 Apr.
Primary care (PC) is an essential building block for any high quality healthcare system, and has a particularly positive impact on vulnerable patients. It contributes to the overall performance of health systems, and countries that reorient their health system towards PC are better prepared to achieve universal health coverage. Monitoring the actual performance of PC in health systems is essential health policy to support PC. However, current indicators are often too narrowly defined to account for quality of care in the complex populations with which PC deals. This article reviews a number of conceptual frameworks developed to capture PC values in robust measures and indicators that can inform policy and practice performance. Each have benefits and limitations. Further work is needed to develop meaningful primary health care (PHC) and PC measures to inform strategic action by policymakers and governments for improved overall performance of health systems.
初级保健是任何高质量医疗体系的重要基石，对弱势群体有着特别积极的影响。它有助于卫生系统的整体绩效，而将卫生系统重新定位为以初级保健为导向的国家，在实现全民健康覆盖方面准备更充分。监测初级保健在卫生系统中的实际绩效是支持初级保健的重要卫生政策。然而，目前的指标定义往往过于狭窄，无法涵盖初级保健所应对的复杂人群的医疗质量。本文回顾了一些为以可靠的措施和指标体现初级保健价值而制定的概念框架，这些措施和指标可为政策及实践绩效提供参考。每个框架都有其优缺点。需要开展进一步工作，以制定有意义的初级卫生保健和初级保健措施，为政策制定者和政府采取战略行动提供依据，以提高卫生系统的整体绩效。
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