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【文章內(nèi)容簡(jiǎn)介】 hi, Health Policy 2022。 60:20118. van Doorslaer et al, Health Econ 2022。 13:62947. Schoen et al, Health Aff 2022。 W5: 50925. Savoula Ghobrial 15 Community surveys in industrialized countries show that primary care oriented countries (Australia, Canada, New Zealand, United Kingdom) are rated higher than other countries (US and Germany) on many aspects of care, including ? view of the health care system as NOT needing plete rebuilding ? finding the regular physician’s advice helpful ? coordination of care The United States rates the poorest on ALL aspects of experienced care, including access, personfocused care over time, unnecessary tests, polypharmacy, adverse effects, and rating of medical care received. Source: Schoen et al, Health Aff 2022。 W5: 50925. Savoula Ghobrial 16 Mortality/Morbidity and Primary Care ? Shi (1994) found, in the US, that primary care is “by far the most significant variable related to better health status, correlating to lower overall mortality, lower death rates due to diseases of the heart and cancer, longer life expectancy, lower neonatal death rate, and low birth weight.” ? In studies undertaken by Shi and Starfield (2022, 2022) on ine inequality and primary care, an association was established between higher primary physician supply and good health status. Savoula Ghobrial 17 High quality primary care is a core ponent of a high quality healthcare system… Strong primary care is associated with higher patient satisfaction Stronger primary care is associated with lower health inequalities Stronger primary care is associated with lower hospital admissions Stronger primary care is associated with better value for money Studies have shown that access to primary care reduces effects of poverty on self reported health status. In Yorkshire and Humber 99% of people are registered with a GP – this offers great potential to tackle inequalities. Countries that have weaker primary care have higher costs across the healthcare system. Within countries, areas that have more primary care physicians are associated with lower spending. In the UK, an increase in the number of GPs is associated with lower admissions for both acute illness and chronic illness. Primary care services continue to deliver very high patient satisfaction. Patient satisfaction with the quality of general practice is over 85%. Delivering the vision for primary care will be critical to the successful implementation of the Next Stage Review remen
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