Coleman Anna, Rummery Kirstein
National Primary Care Research and Development Centre, Manchester University, Manchester, UK.
J Interprof Care. 2003 Aug;17(3):273-80. doi: 10.1080/1356182031000122898.
Against a rapidly changing policy backdrop, health providers and social services departments in England are attempting to develop partnerships in order to effectively provide services. Relations between health and social care organisations have long been recognised as being problematic, in terms of historically poor relationships between GPs and social services departments and the non-coterminous natures of many organisational boundaries. The development of Primary Care Groups and Trusts has provided an opportunity to try to overcome some of these problems. This paper draws on a national survey of a sample of Primary Care Groups/Trusts and associated in-depth case studies to describe the roles of the social services representatives on Primary Care Group Boards/Trust Executive Committees and discusses the extent to which closer collaboration in the development of services is occurring and its potential for development in the future. It highlights the importance of greater organisational stability and the need for time to form effective partnership arrangements in the future.
在快速变化的政策背景下,英国的医疗服务提供者和社会服务部门正试图建立合作伙伴关系,以便有效地提供服务。长期以来,人们一直认为医疗和社会护理组织之间的关系存在问题,这体现在全科医生与社会服务部门之间历来不佳的关系以及许多组织边界的非同步性上。初级保健团体和信托机构的发展为试图克服其中一些问题提供了契机。本文基于对初级保健团体/信托机构样本的全国性调查以及相关的深入案例研究,描述了社会服务代表在初级保健团体委员会/信托执行委员会中的角色,并讨论了在服务发展中更紧密合作的发生程度及其未来的发展潜力。它强调了更高的组织稳定性的重要性以及未来形成有效伙伴关系安排所需时间的必要性。