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恢复 primary care:重新 framing 关系和重新设计实践

English | 2016 | ISBN: 1846193826 | 146 Pages | PDF | 2.53 MB

To many practitioners, managers and patients, US primary care is in crisis. Primary care physicians are often overworked and undervalued, and both patients and care providers can feel locked into structures that lack compassion and are unfit for their intended purposes. Healthcare reforms aim to resolve the situation, but changes may take years to deliver and are contingent on numerous outside factors. What steps are within care providers' power to take now? This book lays out a course to deliver compassionate care, quality, and efficiency that - unlike many current patient-centred medical home initiatives in the US - does not require outside funding. After reflecting on avoidable problems and harms in primary care, the book offers stories of hope from innovative clinicians across the US before presenting ten practical, deliverable steps to lift primary care provision from 'poor' or 'mediocre' to 'great'. This book will be of interest to practicing family physicians and general internists, but will also be useful reading for health system leaders, healthcare insurance purchasers and insurance company executives.


许多从业者、管理者和患者都认为美国初级医疗护理正处于危机之中。初级保健医生往往过度劳累且被低估,而无论是患者还是照顾者都可能感到自己被困在缺乏同情心的结构中,并不适合其预期用途。医疗改革旨在解决这些问题,但变革需要多年才能实现,并取决于诸多外部因素。在这种情况下,护理提供者能采取哪些步骤?这本书提出了一条路径,以交付充满同情、优质和效率的关怀服务——不像目前美国许多患者中心化的家庭医学诊所计划那样需要外部资金支持。在反思初级保健中可避免的问题和伤害后,本书向读者介绍了来自全美各地创新医生的故事,并提出了十项实际可行且可以实施的步骤,旨在将初级保健提供从“差”或“平庸”提升至“卓越”。这本书将对正在执业的家庭医生和内科医生感兴趣,但对于医疗系统领导者、医疗保险购买者以及保险公司高层也同样具有参考价值。
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