将未联系的患者与综合初级保健相连接：快速综述。
Connecting unattached patients to comprehensive primary care: a rapid review.
机构信息
Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
C.T. Lamont Primary Health Care Research Centre, Bruyere Research Institute, Ottawa, ON, Canada.
出版信息
Prim Health Care Res Dev. 2023 Mar 15;24:e19. doi: 10.1017/S1463423623000099.
INTRODUCTION
Lack of access to primary care providers (PCPs) is a significant hurdle to receiving high-quality comprehensive health care and creates greater reliance on emergency departments and walk-in clinics.
METHODS
We conducted a rapid review and analysis of the literature that discusses approaches to increasing access to continuous care for patients with no PCP ('unattached patients').
RESULTS
Five distinct themes across 38 resources were identified: financial incentives for patients and providers, health care organization, policy intervention, virtual care and health information technology (HIT), and medical education. Approaches that increased attachment were primary care models that combined two or more of these and reflected the Patient's Medical Home (PMH) model.
CONCLUSIONS
Although there are individual initiatives that could allow for temporary relief, long-term and community-wide success lies in designing models of primary care that use multiple tools, meet the needs of the community, and are supported by regional, provincial, and national policies.
引言
无法获得初级保健提供者（PCP）是接受高质量综合医疗保健的重大障碍，并导致更多地依赖急诊部门和门诊诊所。
方法
我们对讨论增加无 PCP（“无依附患者”）患者持续护理途径的文献进行了快速审查和分析。
结果
在 38 项资源中确定了五个不同的主题：患者和提供者的经济激励措施、医疗保健组织、政策干预、虚拟护理和健康信息技术（HIT）以及医学教育。增加依附性的方法是将两种或多种方法结合在一起并反映患者医疗之家（PMH）模式的初级保健模式。
结论
尽管有一些可以暂时缓解的个别举措，但长期和社区范围内的成功在于设计使用多种工具、满足社区需求并得到区域、省和国家政策支持的初级保健模式。
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