背景:最近的《奥地利初级保健法》建立了新的初级保健单位(PHCHU),并要求它们制定“护理战略”,规定其重点护理任务和目标,并强调其集水区人口的医疗保健需求及其特定的当地健康和流行病学特征。因此,这些护理策略的主要目的是确保护理提供者满足当地需求,但它们也为评估和组织发展提供了依据。为了帮助新的PHCU建立护理策略,有必要开发一种方法,为奥地利任何可自由定义的地点自动生成全面的本地案例研究。
结果:我们设计了一个交互式报告生成器,能够为位于奥地利的2122个城市中的PHCU生成特定位置的区域医疗保健配置文件,并计算其集水区的半径(由不同级别的最大汽车行驶时间定义)。这样生成的报告,称为“初级卫生保健区域卫生保健概况”(RHCP/PHC),是全面的PDF报告格式。每份报告的核心是一套35项指标,分为五个卫生和卫生服务领域。报告包括介绍性文字,定义,一张地图,所有指标值的图形和表格表示,包括当地的信息,超区域和国家价值分布,排名,和服务提供商的数量(例如药房,手术,疗养院)位于集水区内。
结论:RHCP/PHC支持初级卫生保健规划,努力提高护理效率,通过提供有关人口健康的全面信息和战略组织发展,集水区内卫生服务和卫生保健结构的利用。除了揭示所需医疗保健的范围和性质外,他们还提供了关于哪些公共卫生方法是必要的信息。已将不同地点的RHCP/PHC分发给奥地利的许多利益相关者和初级卫生保健提供者。
BACKGROUND: The recent Austrian Primary Care Act established new primary health care units (PHCUs) and obliged them to draw up a \"care strategy\" specifying their focal care tasks and objectives and emphasizing the health care needs of the population in their catchment area with its specific local health and epidemiological profile. The main purpose of these care strategies is thus to ensure that care-providers meet the local needs, but they also provide a rationale for evaluation and organizational development. To assist new PHCUs in establishing care strategies it was necessary to develop a method for automatically generating comprehensive local
case studies for any freely definable location in Austria.
RESULTS: We designed an interactive report generator capable of producing location-specific regional health care profiles for a PHCU located in any of Austria\'s 2122 municipalities and of calculating the radius of its catchment area (defined by different levels of maximum car-travelling times). The
reports so generated, called \"regional health care profiles for primary health care\" (RHCPs/PHC), are in comprehensive PDF report format. The core of each report is a set of 35 indicators, classified under five health and health service domains. The
reports include an introductory text, definitions, a map, a graphic and tabular presentation of all indicator values, including information on local, supra-regional and national value distribution, a ranking, and numbers of service providers (e.g. pharmacies, surgeries, nursing homes) located within the catchment area.
CONCLUSIONS: The RHCPs/PHC support primary health care planning, efforts to improve care-effectiveness, and strategic organizational development by providing comprehensive information on the health of the population, the utilization of health services and the health care structures within the catchment area. In addition to revealing the scope and nature of the health care needed, they also provide information on what public health approaches are necessary. RHCPs/PHC for different locations have already been distributed to numerous stakeholders and primary health care providers in Austria.