Specialty Care Access in the Safety Net-the Role of Public Hospitals and Health Systems

Makaroun Lena K.; Bowman Chelsea; Duan Kevin; Handley Nathan; Wheeler Daniel J.; Pierluissi Edgar; Chen Alice Hm

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Specialty Care Access in the Safety Net-the Role of Public Hospitals and Health Systems

机译：在安全网上专业护理 - 公立医院和卫生系统的作用

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Access to specialty care in the United States safety net, already strained, is facing increasing pressure with an influx of patients following the passage of the Affordable Care Act (ACA). We surveyed 18 public hospitals and health systems across the country to describe the current state of specialty care delivery in safety-net systems. We elicited information regarding challenges, provider models, metrics of access and productivity, and strategies for improving access. Based on our findings, we propose a framework for assessing and improving specialty care access with a focus on population health planning.

机译：在美国安全网的进入专业护理，已经紧张，在经济实惠的护理法案（ACA）通过后，患者涌入越来越大。我们通过全国各地调查了18个公立医院和卫生系统，以描述安全网系统中的特种护理现状。我们引发了关于挑战，提供商模型，访问和生产力指标的信息，以及改善访问的策略。根据我们的调查结果，提出了一个框架，用于评估和改善专业护理机会，重点是人口健康规划。

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来源
《Journal of health care for the poor and underserved》 |2017年第1期|共16页
作者
Makaroun Lena K.; Bowman Chelsea; Duan Kevin; Handley Nathan; Wheeler Daniel J.; Pierluissi Edgar; Chen Alice Hm;
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作者单位

Univ Washington Dept Med Div Geriatr Seattle WA 98195 USA;

Palo Alto Med Fdn Palo Alto CA USA;

Univ Calif San Francisco Dept Med Div Hosp Med San Francisco CA 94143 USA;

Univ Penn Dept Med Div Hematol Oncol Philadelphia PA 19104 USA;

Univ Minnesota Dept Med Minneapolis MN 55455 USA;

Univ Calif San Francisco Dept Med Div Hosp Med San Francisco CA 94143 USA;

Univ Calif San Francisco Dept Med Div Gen Internal Med San Francisco CA 94143 USA;

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原文格式 PDF
正文语种 eng
中图分类保健组织与事业（卫生事业管理）;
关键词
Specialty care; access to care; safety net; health care reform;

机译：专业护理;获得护理;安全网;医疗改革;

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专利

1. Specialty Care Access in the Safety Net-the Role of Public Hospitals and Health Systems [J] . Makaroun Lena K., Bowman Chelsea, Duan Kevin, Journal of health care for the poor and underserved . 2017,第1期

机译：在安全网上专业护理 - 公立医院和卫生系统的作用
2. Comparison of hospital consumer assessment of healthcare providers and systems patient satisfaction scores for specialty hospitals and general medical hospitals: Confounding effect of survey response rate [J] . SiddiquiZ.K., WuA.W., KurbanovaN., Journal of Hospital Medicine . 2014,第9期

机译：专科医院和普通医院对医疗保健提供者的医院消费者评估和系统患者满意度评分的比较：调查响应率的混杂影响
3. Role of emerging private hospitals in a post-Soviet mixed health system: a mixed methods comparative study of private and public hospital inpatient care in Mongolia [J] . Tsevelvaanchig Uranchimeg, Gouda Hebe, Baker Peter, Health policy and planning . 2017,第4期

机译：新兴私立医院在苏联后卫生系统中的作用：蒙古私营医院住院护理的混合方法对比研究
4. Access Improvement using Lean Healthcare for Radiation Treatment in a Public Hospital [C] . Carlos Frederico Pinto, Stela Maris Coelho, Robisom Damasceno Calado, IFAC Conference on Management and Control of Production and Logistics . 2013

机译：使用精益医疗保健在公立医院进行辐射治疗的改进
5. Comparative analysis of publicly reported health care data to patient safety culture in top performing hospitals [D] . Hampe, Holly M. 2011

机译：顶尖医院中公开报告的医疗保健数据与患者安全文化的比较分析
6. Beyond Access: Who Reports That Health Care Is Not Being Received When Needed in a Publicly-funded Health Care System? [O] . Naomi M. Kasman, Elizabeth M. Badley 2004

机译：超越访问权：谁报告说在公共资助的医疗保健系统中需要医疗保健服务时没有得到医疗服务？
7. Role of Standard Radiation Safety Practices in Public Health: An Experience of a Tertiary Care Teaching Hospital [O] . Libert A Gomes 2017

机译：标准辐射安全实践在公共卫生方面的作用：高等教育教学医院的经验

Specialty Care Access in the Safety Net-the Role of Public Hospitals and Health Systems

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