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《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》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
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