在初级保健背景下的人口健康管理 - 范围审查审查
Emmily Schaubroeck1, Giorgio Sessa2, Jan De Maeseneer1
1Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
The European journal of general practice
|March 9, 2026
概括
在初级保健中,人口健康管理 (PHM) 需要解决健康的社会决定因素以及社区对公平的需求. 一般实践在PHM中发挥着关键作用,利用临床判断和现实世界的数据.
科学领域:
- 医疗保健管理健康管理
- 初级保健研究研究初级保健研究
- 公共卫生战略 公共卫生战略
背景情况:
- 人口健康管理 (PHM) 是为了改善结果,质量,成本,临床医生的福祉和健康公平 (五重目标) 而推广的.
- 在初级保健环境中,PHM的概念化仍然不清楚.
- 本范围审查涉及PHM在初级保健中的概念化.
研究的目的:
- 探索人口健康管理 (PHM) 在初级保健中是如何概念化的.
- 了解PHM和一般实践之间的相互作用.
- 确定初级保健中PHM组件的定义,影响和解释.
主要方法:
- 使用五个数据库进行了范围审查:PubMed,Embase,CINAHL,科学网和Scopus.
- 包括在内的出版物概念上涉及PHM及其与初级保健的相互作用.
- 数据提取的重点是PHM中的"人口"和"管理"的定义,双向影响和解释.
主要成果:
- 审查了27篇出版物,揭示了PHM的各种定义,很少有人明确地在初级保健实践层面.
- 医疗健康管理强调解决超出临床结果的健康的社会决定因素.
- 一般实践越来越多地涉及到人口识别,风险分层和影响评估,使用临床判断和真实世界的数据,以团队为基础和技术支持的护理为支持.
结论:
- 在初级保健中,PHM强调一般实践的问责制,考虑社会决定因素,以及加强公平的社区协调.
- 在PHM影响评估中,全科医生直觉和现实数据的具体价值需要进一步研究.
- 将PHM原则纳入初级保健是推动五重目标的关键.
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