作为共同利益的初级医疗保健
Rebecca S Etz1, Kurt C Stange2
1From the Larry A. Green Center - Advancing Primary Health Care for the Public Good, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA (RSE); Center for Community Health Integration, Case Western Reserve University, Cleveland, OH (KCS).
Journal of the American Board of Family Medicine : JABFM
|November 25, 2024
概括
将初级医疗保健视为公共利益,对每个人的福祉至关重要,可以抵消医疗保健商品化的负面影响. 集体影响方法可以提高美国医疗保健的可访问性,有效性,公平性和可持续性.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 越来越多的医疗保健商品化导致了一个不个人化,分散和不公平的系统.
- 这种制度未能充分满足人口的基本需求.
- 在医疗保健提供和可访问性方面,迫切需要改变范式.
研究的目的:
- 提出初级医疗保健作为一种共同利益,以抵消医疗保健商品化.
- 概述一个集体影响的方法,以使初级医疗保健成为公共利益.
- 倡导战略投资,以提高医疗保健的可访问性,有效性,公平性和可持续性.
主要方法:
- 将初级医疗保健概念化为公共利益,与其他基本资源进行平行.
- 应用集体影响原则:共同议程,共享测量,相互加强的活动,持续沟通和骨干支持.
- 确定主要投资领域:初级医疗保健支出,支持,劳动力发展,公共卫生和健康的社会驱动因素.
主要成果:
- 将初级医疗保健视为公共利益,为当前系统的缺陷提供了潜在的解决方案.
- 集体影响框架为实现这一愿景提供了一个结构化的方法.
- 对初级保健和相关社会决定因素的投资可以促进一个更公平,更可持续的医疗保健系统.
结论:
- 转向初级医疗保健的共同利益模式对于更容易获得,更有效,更公平的美国医疗保健系统至关重要.
- 集体影响力策略对于成功实施该模型至关重要.
- 持续投资和综合支持是过渡到更可持续的医疗保健未来的必要条件.
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