Abstract:
:We propose a new set of priorities for quality management in primary care, acknowledging that payers and regulators likely will continue to insist on reporting numerical quality metrics. Primary care practices have been described as complex adaptive systems. Traditional quality improvement processes applied to linear mechanical systems, such as isolated single-disease care, are inappropriate for nonlinear, complex adaptive systems, such as primary care, because of differences in care processes, outcome goals, and the validity of summative quality scorecards. Our priorities for primary care quality management include patient-centered reporting; quality goals not based on rigid targets; metrics that capture avoidance of excessive testing or treatment; attributes of primary care associated with better outcomes and lower costs; less emphasis on patient satisfaction scores; patient-centered outcomes, such as days of avoidable disability; and peer-led qualitative reviews of patterns of care, practice infrastructure, and intrapractice relationships.
journal_name
Ann Fam Medjournal_title
Annals of family medicineauthors
Young RA,Roberts RG,Holden RJdoi
10.1370/afm.2014subject
Has Abstractpub_date
2017-03-01 00:00:00pages
175-182issue
2eissn
1544-1709issn
1544-1717pii
15/2/175journal_volume
15pub_type
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journal_title:Annals of family medicine
pub_type: 杂志文章
doi:10.1370/afm.2094
更新日期:2017-07-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章,随机对照试验
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abstract:PURPOSE:Practice transformation in primary care is a movement toward data-driven redesign of care, patient-centered care delivery, and practitioner activation. A critical requirement for achieving practice transformation is availability of tools to engage practices. METHODS:A total of 48 practices with 109 practice si...
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journal_title:Annals of family medicine
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doi:10.1370/afm.1502
更新日期:2013-07-01 00:00:00
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journal_title:Annals of family medicine
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doi:10.1370/afm.312
更新日期:2005-07-01 00:00:00
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更新日期:2013-05-01 00:00:00
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journal_title:Annals of family medicine
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doi:10.1370/afm.722
更新日期:2007-09-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1370/afm.1974
更新日期:2016-11-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章
doi:10.1370/afm.643
更新日期:2007-03-01 00:00:00
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更新日期:2008-09-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章,多中心研究
doi:10.1370/afm.2418
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abstract:PURPOSE:In this study, we compared the rate of depression diagnoses in adults with and without diabetes mellitus, while carefully controlling for number of primary care visits. METHODS:We matched adults with incident diabetes (n = 2,932) or prevalent diabetes (n = 14,144) to nondiabetic control patients based on (1) a...
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doi:10.1370/afm.964
更新日期:2009-07-01 00:00:00
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pub_type: 杂志文章
doi:10.1370/afm.243
更新日期:2005-01-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章,随机对照试验
doi:10.1370/afm.1600
更新日期:2014-01-01 00:00:00
abstract::The American Board of Family Medicine routinely surveys its Diplomates in each national graduating cohort 3 years out of training. These data were used to characterize early career family physicians whose services include management of pregnancy and prescribing buprenorphine. A total of 261 (5.1%) respondents both pro...
journal_title:Annals of family medicine
pub_type: 杂志文章
doi:10.1370/afm.2504
更新日期:2020-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1370/afm.1299
更新日期:2011-09-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章
doi:10.1370/afm.2119
更新日期:2017-09-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章
doi:10.1370/afm.1904
更新日期:2016-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1370/afm.1626
更新日期:2014-03-01 00:00:00
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更新日期:2018-01-01 00:00:00
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pub_type: 杂志文章,多中心研究
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journal_title:Annals of family medicine
pub_type: 杂志文章,随机对照试验
doi:10.1370/afm.1756
更新日期:2015-08-01 00:00:00
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journal_title:Annals of family medicine
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更新日期:2006-03-01 00:00:00
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journal_title:Annals of family medicine
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更新日期:2012-09-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章
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更新日期:2021-01-01 00:00:00
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journal_title:Annals of family medicine
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更新日期:2013-05-01 00:00:00
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更新日期:2004-11-01 00:00:00
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更新日期:2018-03-01 00:00:00