Syed Mohamed Ahmed, Al Mujalli Hanan, Kiely Catherine Maria, A/Qotba Hamda Abdulla
Directorate of Clinical Affairs, Primary Health Care Corporation, Doha, Qatar.
Integr Healthc J. 2020 Dec 30;2(1):e000040. doi: 10.1136/ihj-2020-000040. eCollection 2020.
Healthcare providers around the world are seeking to manage the rising burden of chronic conditions against a backdrop of both growing and ageing populations as well as greater expectations of health services. This paper describes the development of an integrated primary care model 'the family medicine model (FMM)' to deliver primary healthcare in Qatar to better address some of the healthcare challenges faced.
A developmental approach was adopted in defining an FMM for Qatar that could potentially address health needs of its population, while acknowledging local context and addressing complexities. A literature review was undertaken followed by field visits and setting up of a working group in order to identify, develop and adapt a model suitable for delivery of primary care in Qatar.
Key principles of the proposed model and its component were defined. Components included primary care workforce and practice-based teams, service provision and practice-based services, health information and technology, access to care and information, care management, care coordination, practice management and quality and safety.
The proposed model is an innovative approach which utilises and integrates these components to deliver holistic primary care. It is anticipated that its introduction will help redesign and integrate the way primary healthcare is delivered to the population of Qatar in helping patients manage their own health and reduce the numbers that need to be admitted to secondary care, improving patients' independence and well-being as well as dramatically reducing the cost to the overall health system.
在全球人口增长、老龄化加剧以及对医疗服务期望提高的背景下，世界各地的医疗服务提供者都在努力应对慢性病负担日益加重的问题。本文描述了一种综合初级保健模式——“家庭医学模式（FMM）”的发展，该模式旨在为卡塔尔提供初级医疗保健服务，以更好地应对所面临的一些医疗挑战。
采用一种发展性方法来为卡塔尔定义一种可能满足其人口健康需求的家庭医学模式，同时承认当地背景并应对复杂性。进行了文献综述，随后进行了实地考察并成立了一个工作组，以确定、开发和调整一个适合在卡塔尔提供初级保健服务的模式。
确定了所提议模式及其组成部分的关键原则。组成部分包括初级保健劳动力和基于实践的团队、服务提供和基于实践的服务、健康信息和技术、获得医疗服务和信息、护理管理、护理协调、实践管理以及质量和安全。
所提议的模式是一种创新方法，它利用并整合这些组成部分来提供全面的初级保健服务。预计该模式的引入将有助于重新设计和整合向卡塔尔民众提供初级医疗保健服务的方式，帮助患者管理自身健康，减少需要入住二级医疗机构的人数，提高患者的独立性和幸福感，并大幅降低整个医疗系统的成本。
