英国初级卫生保健制度 及诊所运作管理体系
DESCRIPTION
英国初级卫生保健制度 及诊所运作管理体系. 复旦大学附属华山医院永和分院 陈 瑶 2011 年 11 月 9 日. 英中卫生创新 伙伴 上海市全科医师培训项目. 汇 报 内 容. 卫生保健体系概况 诊所运行管理体系 借鉴、启示与思考. 卫生保健体系概况. Primary Care. Secondary C are. 健康人群高危人群常见问题. 意外事故或急诊 心脏病 急性 脑溢血. 疑难 病人. 医 院. GP 团队. 95%. 5%. 双向转诊. 优点 - 各司其职 - 互补互利 - 方便周到 - PowerPoint PPT PresentationTRANSCRIPT
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2011119
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95% GP - - - - - - Primary Care Secondary Care 5%
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Scarsdale Medical Centre
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32GP2 1 2 1 1 1 (11) 1 22 1 (Boots)
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FINANCESQOF 30% GMS/PMS 60% Enhanced services 10% Scarsdale Medical CentrePrescribing Incentive schemeTraining 1% Addition services 1%
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PCTs () General Medical Services ,GMS Personal Medical Services,PMS 60% 30%
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PCTGP60%1.GP2.PCT3.4.GPGP
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Quality outcome framework (QOF)30% 2004 2 4PCT GP
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QOF Points for health outcomes Chronic disease management 20 different disease groups 20GPs given very specific tasks for these patients GP Quality Management Analysis System (QMAS)
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QOF 20091000 124.60(the Clinical Domain) 697 100878114.3%12.5%11.6%(the Organisational Domain)167.5(the Patient Experience Domain) 91.5(the Additional Services Domain) 44
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(the Clinical Domain)697 8620(2009) (69.7) TIA COPD CVD
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Hypertension, for example Target% Points Register 6 BP in last 9 months 90% 18 Last BP < 150/90 70% 57 UKHBP160031HBP20092025HBP15.632.1WHO200810
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the Organisational Domain2009536,167.5(16.75)
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(the Patient Experience Domain)391.59.15
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(the Additional Services Domain)200949,44(4.4)
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QOF
GPGP GP5mmol/L 2004/200571%,2005/200678.5% 2000GDP7.1%19989.2%NHS30%95%
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11(3)(5)8(B203-5
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:
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1.GP2.QOF3.QOF
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1.2.QOF3.GP
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: 1. 2. 3.
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:1. 2.QOF3.
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1.GP2.(nurse practitioner)(nurse specialist)3.GPGP95%GP
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1.182.1.2.
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1. 2.
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