Overcoming Challenges to Teamwork in Patient-Centered MedicalHomes A Qualitative Study以病人为中心的医疗克服团队合作协作的挑战 家庭:定性研究.pdf

Overcoming Challenges to Teamwork in Patient-Centered MedicalHomes A Qualitative Study以病人为中心的医疗克服团队合作协作的挑战 家庭:定性研究.pdf

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时间:2020-03-21

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1、OvercomingChallengestoTeamworkinPatient-CenteredMedicalHomes:AQualitativeStudy1111AnnS.O’Malley,MD,MPH,RebeccaGourevitch,BA,KevinDraper,BA,AmeliaBond,MPH,2andManasiA.Tirodkar,PhD12MathematicaPolicyResearch,Washington,DC,USA;NationalCommitteeforQualit

2、yAssurance(NCQA),Washington,DC,USA.BACKGROUND:Thereisemergingconsensusthaten-systemsupport,anddatafeedback,reportedimprovedhancedinter-professionalteamworkisnecessaryforprovidersatisfactionandproductivity.Thereappearstotheeffectiveandefficientdeliver

3、yofprimarycare,beaneedformoreon-siteteamworktraining.butthereislesspracticalinformationspecifictoprimarycareavailabletoguidepracticesonhowtobetterworkasteams.KEYWORDS:Primaryhealthcare;Patientcareteam;Patient-centeredmedicalhome;Qualityofhealthcare;P

4、racticemanagement.OBJECTIVE:ThepurposeofthisstudywastodescribeJGenInternMed30(2):183–92howprimarycarepracticeshaveovercomechallengestoDOI:10.1007/s11606-014-3065-9providingteam-basedprimarycareandtheimplications©SocietyofGeneralInternalMedicine2014fo

5、rcaredeliveryandpolicy.APPROACH:Practicesforthisqualitativestudywerese-lectedfromthoserecognizedaspatient-centeredmedicalhomes(PCMHs)viathemostrecentNationalCommitteeforQualityAssurancePCMHtool,whichincludedado-INTRODUCTIONmainonpracticeteamwork.PART

6、ICIPANTS:Sixty-threerespondents,rangingfromTheimbalancebetweenprimarycaredemandandcapacityinphysicianstofront-deskstaff,wereinterviewedfromtheU.S.createsbarrierstopatientaccessandcontributestoMaythroughDecemberof2013.Practicerespondentsphysicianburno

7、ut.Manybelievethatenhancedinter-camefrom27primarycarepracticesranginginsize,type,professionalteamworkcanpromotemoreefficientprimarygeography,andpopulationserved.1–4KEYRESULTS:Practicesemphasizingteamworkover-caredeliveryInter-professionalteamworkhasb

8、eendefinedcamecommonchallengesthroughtheincrementaldele-as“theprovisionofcomprehensivehealthservicestoindivid-gationofnon-clinicaltasksawayfromphysicians.Theuals,families,and/ortheircommunitiesbyatleasttwohealthrolesofmedicalassistantsandnursesareexp

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