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- Title
Standard model and quality appraisal framework for the organization of primary care.
- Authors
Jae-Ho Lee; Byung-Su Ko; Jong-Han Leem; Sang-Il Lee
- Abstract
During the past several decades, population aging and chronic diseases have been common burdens to nearly all the world's countries. To meet future health care needs, many coun-tries have tried to improve the efficiency and equity of the health care system by reforming pri-mary care. In the UK, which has already achieved a high level of strength in primary care, the Quality and Outcomes Framework (2004) was introduced and a great deal of the National Health Service (NHS) budget has been invested in primary care. In the US, a country with a low level of strength in primary care, to transform primary care practices to model practices, medical home movements such as the Patient-Centered Medical Home (PCMH) have been initiated after the development of the joint principles of the PCMH (2007) by 4 major societies of primary care. In Australia, despite having achieved high levels of health outcomes among the OECD countries, the Practice Incentives Program (PIP) has been introduced to respond to concerns about quality and coordination of care and prevention in 1998. In South Korea, a country with a very weak infrastructure in primary health care, where primary care has never been explicitly defined at the national level, the government is trying to improve quality in chronic care by using small financial incentives. The authors assert that a standard model and a quality appraisal framework for the organization of primary care are necessary to achieve the goals of primary care reform in this country.
- Subjects
SOUTH Korea; PRIMARY health care; PATIENT-centered care
- Publication
Journal of the Korean Medical Association / Taehan Uisa Hyophoe Chi, 2013, Vol 56, Issue 10, p866
- ISSN
1975-8456
- Publication type
Article
- DOI
10.5124/jkma.2013.56.10.866