城市直接初级保健模式中的利用模式:一个案例研究
Adelola Ashaye1, Patrick Dang2, Omolola E Adepoju2,3
1InTouch Primary Care, Sugar Land, TX, USA.
Journal of primary care & community health
|December 10, 2025
概括
直接初级保健 (DPC) 显示,更长的订阅增加了患者参与和提供者互动. 然而,成本和城市接入可能会限制这种医疗保健模式中的公平性.
科学领域:
- 医疗保健提供模式 医疗保健提供模式
- 初级保健创新初级保健的创新
- 健康 公平 研究 健康 公平 研究
背景情况:
- 直接初级保健 (DPC) 提供了一个以患者为中心的医疗保健替代方案.
- 城市DPC模型在公平性和可访问性方面面临挑战.
- 这项研究调查了德克萨斯州休斯顿的DPC利用和参与.
研究的目的:
- 分析DPC在城市环境中的使用模式.
- 评估订阅时间对患者与医疗服务提供者互动的影响.
- 确定影响DPC参与的因素.
主要方法:
- 对非识别的DPC临床数据的分析 (2023年1月至2024年1月).
- 收集患者人口统计数据,订阅详细信息和交互数据.
- 用于利用分析的描述性统计和物流回归.
主要成果:
- 研究样本主要是城市 (79%),女性 (77%) 和非西班牙裔黑人 (71%).
- 较长的DPC订阅时间 (≥21个月) 与较高的患者参与度相关 (图表相互作用,预约).
- 订阅时间是DPC使用的重要预测因素;其他人口统计数据不是.
结论:
- 持续的DPC招生提高了患者参与度和提供者交互频率.
- DPC可以改善患者与提供者之间的关系.
- 成本和城市可访问性仍然是DPC公平的潜在障碍.
相关概念视频
Methods Of Healthcare Delivery System
3.9K
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...
3.9K
Methods of Documentation VI: Case Management Model
837
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...
837
Primary Healthcare Services
1.9K
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...
1.9K
Secondary Healthcare System
1.9K
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...
1.9K
Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
Introduction To Health Care Delivery System
3.7K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
3.7K


