在初级保健中测量连续性:它是如何完成的,以及为什么它很重要
Derek Hersch1, Kristen Klemenhagen1, Patricia Adam1
1Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, United States.
Family practice
|December 31, 2023
概括
护理连续性 (COC) 对于初级保健至关重要,改善患者的治疗结果和满意度. 了解各种COC措施对于有效的质量改进举措至关重要.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 护理连续性 (COC) 是初级保健的基石,与更好的患者结果,满意度和降低医疗保健成本有关.
- 患者与医生的关系是高度重视的,但在一些设置,如住院诊所,患者可能会看到他们的初级保健提供者 (PCP) 不到50%的时间.
- 对患者和提供者来说,COC的众多好处凸显了对标准化测量的需求.
研究的目的:
- 解决了解和比较不同护理连续性 (COC) 措施的需要.
- 引导初级保健专业人员选择最合适的COC措施,以提高质量.
- 探索至少32种不同的COC测量方法之间的差异和关键区分因素.
主要方法:
- 审查和分析现有的护理连续性 (COC) 测量方法.
- 确定影响COC测量变化的关键因素,包括数据来源 (索赔,EMR),目的 (研究与临床),观点 (患者与提供者) 和访问特征.
- 检查PCP的可识别性如何影响COC测量公式.
主要成果:
- 至少有32种不同的措施被用于评估护理连续性 (COC).
- COC测量的变化源于数据源的限制,预期使用,患者/提供者观点和访问模式.
- 在COC公式中的关键区分因素包括使用的数据源和识别一致的初级保健提供者 (PCP) 的能力.
结论:
- 没有一个单一的"正确"公式来衡量护理连续性 (COC).
- 对COC测量的细微理解对于推进初级保健研究和改善临床质量至关重要.
- 虽然不完美,但COC公式和指数为评估患者与医疗服务提供者的相互作用一致性提供了有价值的指标.
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