初级保健医生能力与通常的护理来源之间的关系
Michael Topmiller1, Hannah Shadowen2, Hoon Byun2
1From The Robert Graham Center for Policy Studies in Family Medicine, American Academy of Family Physicians, Cincinnati, OH, Washington, DC (MT, HB, MC, JYP, YJ, AH); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (HS). mtopmiller@aafp.org.
Journal of the American Board of Family Medicine : JABFM
|August 14, 2024
概括
在获得初级保健方面存在地理差异. 具有高初级保健医生 (PCP) 能力但通常护理来源 (USC) 较低的县经常为少数民族和没有保险的人口提供服务,突出了针对性干预的需要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 地理健康差异的差异
- 获得初级保健 获得初级保健
背景情况:
- 初级保健医生 (PCP) 的能力和通常的护理来源 (USC) 对于获得医疗保健至关重要.
- 现有的研究表明,PCP容量与USC率之间存在分歧.
- 本研究调查了与PCP能力和USC相关的地理模式和县特征.
研究的目的:
- 为了比较具有类似PCP能力但不同USC率的县的地理模式.
- 识别具有PCP能力和USC不同组合的县的特征.
- 为改进初级保健准入和连续性的有针对性的战略提供信息.
主要方法:
- 使用罗伯特·格雷厄姆中心和县卫生排名的数据进行县级的横截面分析.
- 条件映射用于识别社会贫困的美国县.
- 根据PCP能力和USC三位数 (高低,高高,低高,低低) 将县分为四组.
主要成果:
- 显而易见的地理模式出现了:北部/东北部的高高县,西南部/南部的高低县.
- 低-高县集中在阿巴拉契亚/大湖,低-低在东南部/德克萨斯州.
- 低USC的县,无论PCP能力如何,都有较高的少数群体,无保险人员和社会贫困率.
结论:
- 解决PCP短缺问题和改善USC对于获得高质量的初级保健至关重要.
- 定制的初级保健改进模型需要地理定向的策略.
- 扩大医疗补助和医疗保险的准入对于在高无保险率和低USC的州增加USC至关重要.
关键词:
获得护理的机会地理信息系统 (GIS) 是一个地理信息系统.健康差异 在健康上的差异地图地图地图地图地图地图地图主要护理医生 主要护理医生初级医疗保健是一项主要的医疗保健.劳动力 劳动力 劳动力 劳动力更多相关视频
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
14.4K
05:04Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
888
相关概念视频
01:30Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
01:11Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K
01:26Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
01:21Tertiary Healthcare System
1.7K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.7K
01:15Methods of Documentation VI: Case Management Model
564
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
564
01:30Data Collection I
6.1K
Data collection gathers information needed to make accurate judgments about a patient's present condition. During a health history interview, subjective data is collected from the patient, their caregivers, or family members, and objective data is collected through observations and physical assessment. Patients are the primary source of subjective data. Thus information gathered from patients through interviews, observations, and physical examination is primary data. Secondary sources of...
6.1K