在初级保健中人口健康
David A Haggstrom1,2,3, Robert A Gabbay4,5, William L Miller6
1VA Health Services Research & Development Center for Health Information and Communication, Roudebush VAMC, Indianapolis, IN, United States.
在初级保健中实施人口健康涉及从风险分层到社区健康的分阶段过渡,面临诸如健康IT限制等障碍. 社区健康重点可以促进关键合作伙伴关系.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 初级保健研究研究初级保健研究
背景情况:
- 美国人口健康结果落后于其他富裕国家.
- 初级保健因其改善人口健康的潜力而得到认可.
- 在初级保健中实施人口健康战略需要进一步研究.
研究的目的:
- 探索实施人口健康方法的初级保健实践的经验和挑战.
- 识别关键主题和障碍在过渡到人口健康的重点在初级保健设置.
主要方法:
- 这是一项定性研究,涉及10个创新的初级保健实践的临床医生和工作人员.
- 通过记录,转录的小组和大组讨论收集的数据.
- 分析采用沉浸/结晶方法来确定突出的主题.
主要成果:
- 过渡到人口健康发生在几个阶段,从风险分层开始,到社区健康.
- 显著的障碍包括与以患者为中心的护理原则的紧张关系和医疗信息技术的局限性.
- 人口健康的更广泛的概念化包括社区健康是有益的.
结论:
- 在采用人口健康策略时,初级保健实践经历了不同的阶段.
- 克服与以患者为中心的护理和健康IT相关的障碍对于成功实施至关重要.
- 扩大人口健康的定义,包括社区健康,可以促进必要的合作.
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