Population health challenges in primary care: What are the unfinished tasks and who should do them?:

SAGE Open Medicine

FrederickNorth¹ 

关键词: Population health;    primary care;    guidelines;    preventive services;    primary care workload;    provider work;   

DOI  :  10.1177/2050312118800209

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Background:There are numerous recommendations from expert sources that help guide primary care providers in cancer screening, infectious disease screening, metabolic screening, monitoring of drug levels, and chronic disease management. Little is known about the potential effort needed for a healthcare system to address these recommendations, or the patient effort needed to complete the recommendations.Methods:For 73 recommended population healthcare items, we examined each of 28,742 patients in a primary care internal medicine practice to determine whether they were up-to-date on recommended screening, immunizations, counseling, and chronic disease management goals. We used a rule-based software tool that queries the medical record for diagnoses, dates, laboratory values, pathology reports, and other information used in creating the individualized recommendations. We counted the number of uncompleted recommendations by age groups and examined the healthcare staff needed to address the recommendations and ...

【 授权许可】

CC BY