Concern. 1998 Oct;27(4):26-9.
It is unlikely that truly integrated primary health care will become a reality unless health professionals actively strive to foster integration. Dialogue about integration barriers and opportunities has begun between the nursing, pharmacy, social work, emergency medical services, and medical professions. This dialogue should be expanded to include all of the professions with a potential role in an integrated system. The dialogue will also need to include government leaders as key public policy decisions will significantly influence the success or failure of integrated primary health service delivery strategies. As well, dialogue needs to occur with communities so that citizens can understand, value and help shape and maintain this kind of service delivery. Public education needs to emphasize that an integrated approach to primary health care in Saskatchewan is the best kind of service that can be provided. The Integrated Primary Health Care Working Group believes that the principles of primary health care require health professionals in Saskatchewan to develop an integrated approach to health services delivery in Saskatchewan. An exploration of possible barriers to this integrated approach is an important first step in eliminating barriers and facilitating effective health care service delivery to meet population health needs.
除非卫生专业人员积极努力促进整合,否则真正的综合初级卫生保健不太可能成为现实。护理、药学、社会工作、紧急医疗服务和医学专业之间已经开始了关于整合障碍和机遇的对话。这种对话应扩大到包括在综合系统中可能发挥作用的所有专业。对话还需要纳入政府领导人,因为关键的公共政策决定将对综合初级卫生服务提供战略的成败产生重大影响。此外,还需要与社区进行对话,以便公民能够理解、重视并帮助塑造和维持这种服务提供方式。公众教育需要强调,萨斯喀彻温省的综合初级卫生保健方法是所能提供的最佳服务类型。综合初级卫生保健工作组认为,初级卫生保健原则要求萨斯喀彻温省的卫生专业人员制定一种综合的卫生服务提供方法。探索这种综合方法可能存在的障碍是消除障碍并促进有效提供卫生保健服务以满足人群健康需求的重要第一步。