Abstract:
:Comprehensiveness of primary care (the extent to which the clinician, as part of the primary care team, recognizes and meets the majority of each patient's physical and mental health care needs) is an important element of primary care, but seems to be declining in the U.S. This is concerning, because more comprehensive primary care is associated with greater equity and efficiency in health care, improved continuity, less care fragmentation and better health outcomes. Without measurement and support for its improvement, comprehensiveness may further decline as other measured aspects of primary care (e.g. access, coordination) improve. To track, support and improve comprehensiveness, it is useful to have valid and reliable ways to measure it. This paper discusses challenges to measuring comprehensiveness for a primary care team's patient panel, presents survey and claims-based measures of comprehensiveness, and provides suggestions for future research.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
O'Malley AS,Rich ECdoi
10.1007/s11606-015-3300-zsubject
Has Abstractpub_date
2015-08-01 00:00:00pages
S568-75eissn
0884-8734issn
1525-1497journal_volume
30 Suppl 3pub_type
杂志文章,评审abstract:BACKGROUND:Racial/ethnic minority patients are more likely to report experiences with discrimination in the healthcare setting, potentially leading to reduced access to appropriate care; however, few studies evaluate reports of discrimination with objectively measured quality of care indicators. OBJECTIVE:To evaluate ...
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pub_type: 杂志文章,多中心研究
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journal_title:Journal of general internal medicine
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pub_type: 杂志文章,随机对照试验
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更新日期:2008-10-01 00:00:00
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更新日期:2010-11-01 00:00:00
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pub_type: 杂志文章,评审
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