Wright Brad, O'Connor Aoife, Fraher Erin P, Marino Miguel, Frogner Bianca K
Department of Health Services Policy and Management, University of South Carolina Arnold School of Public Health, 915 Greene St, Ste 355, Columbia, SC, USA.
Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
BMC Health Serv Res. 2024 Dec 20;24(1):1627. doi: 10.1186/s12913-024-12121-6.
Despite a growing awareness that primary care is essential to an accessible, equitable, high-quality, cost-effective health care system, family medicine research remains woefully underdeveloped. The increased focus of both state and federal policy makers on primary care payment and care delivery models presents an opportunity for family medicine to redefine itself as an academically rigorous discipline at the forefront of generating evidence that improves patient care and population health while reducing costs. In a critical review of the literature, we identified five themes-leadership, funding, resources, team science, and departmental culture-that are integral to family medicine departments seeking to grow and expand their research capacity.
尽管人们越来越意识到初级保健对于一个可及、公平、高质量且具成本效益的医疗保健系统至关重要,但家庭医学研究仍严重滞后。州和联邦政策制定者对初级保健支付及医疗服务模式的日益关注,为家庭医学提供了一个契机,使其能够将自身重新定义为一门学术严谨的学科,处于生成可改善患者护理和人群健康同时降低成本的证据的前沿。在对文献的批判性综述中,我们确定了五个主题——领导力、资金、资源、团队科学和部门文化——这些对于寻求提升和扩大其研究能力的家庭医学部门而言不可或缺。