hemichiganprimarycareconsortiumanditsinitiative密歇根的初級保健協(xié)會和主動性(已修改)
2025-01-24 08:05 本頁面
【正文】 The Michigan Primary Care Consortium Epi Division Day Carol Callaghan November 10, 2022 . on Acute vs. Chronic Care ―Health care systems [throughout the world] evolved around the concept of infectious disease, and they perform best when addressing patients’ episodic and urgent concerns. However, the acute care paradigm is no longer adequate for the changing health problems in today’s world. Both high and lowine countries spend billions of dollars on unnecessary hospital admissions, expensive technologies, and collection of useless clinical information. As long as the acute care model dominates health care systems, health care expenditures will continue to escalate, but improvements in the population’s health status will not.” World Health Organization. Innovative care for chronic conditions: building blocks for action: global report. (Geneva: WHO。 2022.) Health Care Spending In 2022, the . spent $ trillion — or more than 16% of its Gross Domestic Product — on health care. We spend more than any other country, yet our health system continually underperforms and lags behind less advanced countries. 3 Copyright 169。2022 by Project HOPE, all rights reserved. Ellen Nolte and C. Martin McKee, Measuring The Health Of Nations: Updating An Earlier Analysis, Health Affairs, Vol 27, Issue 1, 5871 Copyright 169。2022 by Project HOPE, all rights reserved. Ellen Nolte and C. Martin McKee, Measuring The Health Of Nations: Updating An Earlier Analysis, Health Affairs, Vol 27, Issue 1, 5871 6 Broken US Health Care System ? Everrising costs of health care ? Rising rates of uninsured, underinsured ? Flat or worsening health status indicators ? Significant health disparities ? Unimpressive quality indicators ? Rising dissatisfaction by nearly everyone ? Aging population means greater demands on health care system 7 Primary Care System in Crisis ? Fragmented, uncoordinated patient care ? Inconsistent delivery of evidencebased care, especially preventive and chronic care ? Misaligned reimbursement system (volume, not value) ? Increasing expectations by payers and purchasers impacting providers’ quality of life ? Shrinking primary care workforce (., physicians, NP’s, PA’s, others) Will primary care survive? 8 Primary Care MUST be the Foundation of the . Health Care System More Primary Care Physicians per 100,000 population Lower Cost + Higher Quality 9 National MD Experience Number of Residents 2022 to 2022 *Combined Primary Care/Specialty Residents, . FM/ER, are Counted as a .5 FTE, all FM amp。 IM Emphasis and Track Interns are I
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