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accountable care organization(ACO)和以患者为中心的医疗之家(PCMH)模式在多大程度上推进了三重目标?对初级保健医疗实践的影响和考量

To What Extent Are ACO and PCMH Models Advancing the Triple Aim Objective? Implications and Considerations for Primary Care Medical Practices.

作者信息

Cantiello John

机构信息

Department of Healthcare Administration and Policy, College of Health and Human Services, George Mason University, Fairfax, Virginia.

出版信息

J Ambul Care Manage. 2022;45(4):254-265. doi: 10.1097/JAC.0000000000000434.

Abstract

Accountable care organizations (ACOs) and patient-centered medical homes (PCMHs) have emerged to advance the health care system by achieving the Triple Aim of improving population health, reducing costs, and enhancing the patient experience. This review examines evidence regarding the relationship between these innovative care models and care outcomes, costs, and patient experiences. The 28 articles summarized in this review show that ACO and PCMH models play an important role in achieving the Triple Aim, when compared with conventional care models. However, there can be drawbacks associated with model implementation. The long-term success of these models still merits further investigation.

摘要

accountable care organizations (ACOs)和以患者为中心的医疗之家(PCMHs)已经出现,旨在通过实现改善人群健康、降低成本和提升患者体验这三重目标来推动医疗保健系统的发展。本综述考察了关于这些创新护理模式与护理结果、成本和患者体验之间关系的证据。本综述总结的28篇文章表明,与传统护理模式相比,ACO和PCMH模式在实现三重目标方面发挥着重要作用。然而,模式实施可能存在缺点。这些模式的长期成功仍值得进一步研究。

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