美国的简易诊所咋样?

2017-06-11 佚名 环球医学

在美国,比起家庭医生,被称为简易诊所(walk-in clinic)的医疗服务有着方便、不用预约的优势。那么,简易诊所究竟发展的如何呢?

在美国,比起家庭医生,被称为简易诊所(walk-in clinic)的医疗服务有着方便、不用预约的优势。那么,简易诊所究竟发展的如何呢?

6月5日,美国行业媒体Medical Economics发了一篇文章,题目为“是时候开个简易诊所了吗?(Is it time to open a walk-in clinic?)”。文章讨论了简易诊所的在美国的运营方式、面临的机遇与挑战以及简易诊所的财务模式。并举出两家有代表性的简易诊所。

根据美国全球最大的管理咨询、信息技术和业务流程外包的跨国企业——埃森哲咨询公司(Accenture)最近的一份报告显示:美国在2007简易诊所只有不到750家。而到2017年底,埃森哲预测这种零售医疗诊所的数量将超过2800家。

为了了解初级保健提供者如何看待这一趋势,2015年,埃森哲调查了美国的1000位医生。他们发现,41%的受访者表示,零售诊所可以为患者提供满意舒适的某些预防服务,如疫苗接种。有17%的受访者表示,对零售诊所的初级医疗服务并不满意。

该文作者还介绍了两家开办简易诊所的医疗服务机构,一个是山区医疗集团(Intermountain Medical Group,IMG),另一个是家庭医疗协会(Family Medicine Associates,FMA)。

IMG和FMA开办的简易诊所都有方便当地居民及时就医的特点。IMG开办的简易诊所每周7天均开业。诊所周一到周五的开业时间为早9点到下午4点,周六开业时间为早9点到下午3点,周日的开业时间为早10点到下午3点。而FMA开办的简易诊所只有周日不营业,每周开业六天。周一到周四的开业时间是早7:30到下午5:30;周五的开业时间是早8点到下午5:30,周六下午开业的时间会减少至5点。周日停诊。

在医生及诊所的运转方式上,两者也有不同之处。比如,IMG开办的简易诊所的产权是归医院的,医生团队的财务风险和压力要低一些,不需要自负盈亏。而FMA开办的简易诊所的产权则归属于独立执业的医生。这就意味着执业者必须承担财务风险,但他们的成本费用一般仅限于医疗团队人员的工资。

美国是家庭医生和分级诊疗制度比较发达的国家。简易诊所之所以能够在家庭医生分级转诊的体制下还能获得成功,首先是因为解决了家庭医生看病让患者等候时间长的问题。对于那些没有保险者和高免赔额患者节约费用也提供了较好的方式。此外,在简易诊所的工作现状给了医生全新的感受,他们工作的自由度和满意度更高了。还有,在美国医疗信息之间的共享也为这种简易诊所的发展创造了不受歧视的保护条件。

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    2017-06-13 ycmayy
  2. [GetPortalCommentsPageByObjectIdResponse(id=1310992, encodeId=ebd31310992a7, content=<a href='/topic/show?id=39be91564e5' target=_blank style='color:#2F92EE;'>#诊所#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91564, encryptionId=39be91564e5, topicName=诊所)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c805395, createdName=ycmayy, createdTime=Tue Jun 13 05:38:00 CST 2017, time=2017-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209581, encodeId=c87f20958105, content=非常好的文章,学习了,很受益, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Mon Jun 12 00:39:10 CST 2017, time=2017-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209503, encodeId=5cf12095037d, content=学习了,谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sun Jun 11 20:00:24 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209490, encodeId=1503209490de, content=我们这里什么时候也能执行上述工作时间了, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Sun Jun 11 19:31:07 CST 2017, time=2017-06-11, status=1, ipAttribution=)]
    2017-06-12 天涯183

    非常好的文章,学习了,很受益

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1310992, encodeId=ebd31310992a7, content=<a href='/topic/show?id=39be91564e5' target=_blank style='color:#2F92EE;'>#诊所#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91564, encryptionId=39be91564e5, topicName=诊所)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c805395, createdName=ycmayy, createdTime=Tue Jun 13 05:38:00 CST 2017, time=2017-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209581, encodeId=c87f20958105, content=非常好的文章,学习了,很受益, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Mon Jun 12 00:39:10 CST 2017, time=2017-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209503, encodeId=5cf12095037d, content=学习了,谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sun Jun 11 20:00:24 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209490, encodeId=1503209490de, content=我们这里什么时候也能执行上述工作时间了, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Sun Jun 11 19:31:07 CST 2017, time=2017-06-11, status=1, ipAttribution=)]
    2017-06-11 1e145228m78(暂无匿称)

    学习了,谢谢作者分享!

    0

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    2017-06-11 清风拂面

    我们这里什么时候也能执行上述工作时间了

    0