Boon Heather, Verhoef Marja, O'Hara Dennis, Findlay Barb
Leslie Dan Faculty of Pharmacy, University of Toronto, ON, M5S 2S2, Canada.
BMC Health Serv Res. 2004 Jul 1;4(1):15. doi: 10.1186/1472-6963-4-15.
"Integrative health care" has become a common term to describe teams of health care providers working together to provide patient care. However this term has not been well-defined and likely means many different things to different people. The purpose of this paper is to develop a conceptual framework for describing, comparing and evaluating different forms of team-oriented health care practices that have evolved in Western health care systems.
Seven different models of team-oriented health care practice are illustrated in this paper: parallel, consultative, collaborative, coordinated, multidisciplinary, interdisciplinary and integrative. Each of these models occupies a position along the proposed continuum from the non-integrative to fully integrative approach they take to patient care. The framework is developed around four key components of integrative health care practice: philosophy/values; structure, process and outcomes.
This framework can be used by patients and health care practitioners to determine what styles of practice meet their needs and by policy makers, healthcare managers and researchers to document the evolution of team practices over time. This framework may also facilitate exploration of the relationship between different practice models and health outcomes.
“综合医疗保健”已成为一个常用术语，用于描述医疗保健服务提供者团队共同协作以提供患者护理的情况。然而，该术语尚未得到明确界定，对不同的人可能意味着许多不同的事情。本文的目的是构建一个概念框架，用于描述、比较和评估西方医疗保健系统中发展起来的不同形式的团队导向型医疗保健实践。
本文阐述了七种不同的团队导向型医疗保健实践模式：并行模式、咨询模式、协作模式、协调模式、多学科模式、跨学科模式和综合模式。这些模式中的每一种在从非综合到完全综合的患者护理方法的连续统一体中都占据一个位置。该框架围绕综合医疗保健实践的四个关键组成部分展开：理念/价值观、结构、过程和结果。
患者和医疗保健从业者可以使用此框架来确定哪种实践风格满足他们的需求，政策制定者、医疗保健管理人员和研究人员可以使用该框架来记录团队实践随时间的演变。该框架还可能有助于探索不同实践模式与健康结果之间的关系。
