Clinical Microsystems, Part 2. Learning from Micro Practices About Providing Patients the Care They Want and Need

摘要

In this article, we have used patient-reported data to demonstrate how micro practices are using patient focus, process improvement, performance patterns, and IT to improve performance. However, this article also demonstrates the many challenges for putting microsystems principle into everyday practice. For example, micro practices' controlling organizations, by not providing necessary leadership, culture, organizational support, and staff focus, can make ineffective both nascent and highly functioning microsystems. Patients should be able to report that they receive "exactly the care they want and need exactly when and how they want and need it." The challenge to health professionals is to build on what is already known to make this goal a reality.