本文由小咖机器人翻译整理

期刊来源：Ann Intern Med

原文链接：https://doi.org/10.7326/M23-2260

摘要内容如下：

以团队为基础的护理模式，如以患者为中心的医疗之家，与改善患者健康结果、更好的团队协调和协作以及提高卫生保健专业人员的幸福感相关。尽管有这些特点，但更广泛采用的障碍仍然存在。此外，一些卫生保健专业人员寻求独立于医生领导的卫生保健团队执业，这可能会影响患者获得具备提供全人、全面和纵向护理的技能和培训的医生的机会。在本文中，美国内科医师学会（American College of Physicians）重申了医生领导的医疗保健团队的重要性，并就专业精神、支付模式、培训、许可和研究提出了政策建议，以支持动态临床护理团队的扩展。

英文原文如下：

Abstracts

Team-based care models such as the Patient-Centered Medical Home are associated with improved patient health outcomes, better team coordination and collaboration, and increased well-being among health care professionals. Despite these attributes, hindrances to wider adoption remain. In addition, some health care professionals have sought to practice independent of the physician-led health care team, potentially undermining patient access to physicians who have the skills and training to deliver whole-person, comprehensive, and longitudinal care. In this paper, the American College of Physicians reaffirms the importance of the physician-led health care team and offers policy recommendations on professionalism, payment models, training, licensure, and research to support the expansion of dynamic clinical care teams.

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