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Mejorar el acceso oportuno a la atención primaria: estudios de caso del modelo de acceso avanzado
Mark Murray1, Thomas Bodenheimer, Diane Rittenhouse
1Mark Murray & Associates, Sacramento, Calif, USA.
JAMA
|February 25, 2003
Resumen
La programación de acceso avanzado tiene como objetivo las citas del mismo día equilibrando la demanda del paciente con la capacidad del proveedor. Los estudios de casos revelan lecciones clave para las prácticas de atención primaria que buscan mejorar el acceso oportuno a la atención.
Área de la Ciencia:
- Servicios de salud Servicios de salud Investigación Investigación.
- Medicina de la Atención Primaria La medicina de la atención primaria es la medicina de la atención primaria.
- Gestión de la Gestión de la Atención Médica.
Sus antecedentes:
- El modelo de acceso avanzado tiene como objetivo proporcionar citas el mismo día al alinear la demanda del paciente con la capacidad de atención médica.
- Mejorar el acceso oportuno de los pacientes es un objetivo crítico en los entornos de atención primaria.
- La literatura anterior ha explorado los fundamentos teóricos de la programación de acceso avanzado.
Objetivo del estudio:
- Analizar la implementación del modelo de acceso avanzado en la atención primaria.
- Identificar los factores que contribuyen al éxito y al fracaso de la adopción del acceso avanzado.
- Proporcionar lecciones prácticas para las prácticas de atención médica con el objetivo de mejorar el acceso de los pacientes.
Principales métodos:
- Análisis de estudios de caso de las prácticas de atención primaria.
- Descripción de 4 implementaciones exitosas de acceso avanzado.
- Examen de 3 estudios de caso donde no se logró el acceso avanzado.
Principales resultados:
- La implementación exitosa requiere un cuidadoso equilibrio entre la capacidad de cita y la demanda del paciente.
- Las estrategias específicas y los cambios organizativos fueron cruciales para lograr el acceso el mismo día.
- Se identificaron desafíos y trampas comunes en las prácticas que lucharon con la implementación.
Conclusiones:
- La programación avanzada de acceso puede mejorar significativamente el acceso oportuno de los pacientes cuando se implementa de manera efectiva.
- Comprender los desafíos de implementación y las lecciones aprendidas de los estudios de casos es vital para el éxito.
- Las prácticas de atención primaria pueden beneficiarse de este modelo al evitar trampas comunes y adoptar estrategias probadas.
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