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首页> 外文期刊>Annual Review of Public Health >Strengthening Integrated Care Through Population-Focused Primary Care Services: International Experiences Outside the United States
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Strengthening Integrated Care Through Population-Focused Primary Care Services: International Experiences Outside the United States

机译：通过以人人口为重点的初级保健服务加强综合护理：美国以外的国际经验

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摘要

Many high- and middle-income countries (HMICs) are experiencing a burden of comorbidity and chronic diseases. Together with increasing patient expectations, this burden is raising demand for population health-oriented innovation in health care. Using desk review and country case studies, we examine strategies applied in HMICs outside the United States to address these challenges, with a focus on and use of a new framework for analyzing primary care (PC). The article outlines how a population health approach has been supported by focusing assessment on and clustering services around social groups and multimorbidity, with support for community roles. It presents ways in which early first contact and continuity of PC, PC coordination of referral, multidisciplinary team approaches, investment in PC competencies, and specific payment and incentive models have all supported comprehensive approaches. These experiences locate PC as a site of innovation, where information technology and peer-to-peer learning networks support learning from practice.
机译：许多高中和中等收入国家（HMICS）正在经历合并症和慢性病的负担。随着患者期望的增加，这种负担正在提高对卫生保健人口的人口卫生创新的需求。使用书桌评论和国家案例研究，我们研究美国以外的策略，以解决这些挑战，专注于和利用新框架来分析初级保健（PC）。本文概述了如何通过支持社区角色的社会群体和多元化的评估和聚类服务来支持人口卫生方法。它介绍了PC的早期第一次接触和连续性，转诊，多学科团队方法，PC竞争力投资以及特定支付和激励模型的所有支持的综合方法。这些经验将PC定位为创新的站点，其中信息技术和对等学习网络支持从实践中学习。

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