Eagar Kathy, Pirkis Jane E, Owen Alan, Burgess Philip M, Posner Natasha, Perkins David A
Centre for Health Service Development, Faculty of Commerce, University of Wollongong, Northfields Ave, Wollongong, NSW 2522.
Aust Health Rev. 2005 May;29(2):189-200.
Three projects were funded under the national Mental Health Integration Program (MHIP) in 1999, each of which employed a different model aimed at improving linkages between disparate parts of the mental health system. A national evaluation framework guided local evaluations of these projects, and this paper presents a synthesis of the findings. For providers, the projects improved working relationships, created learning opportunities and increased referral and shared care opportunities. For consumers and carers, the projects resulted in a greater range of options and increased continuity of care. For the wider system, the projects achieved significant structural and cultural change. Cost-wise, there were no increases in expenditure, and even some reductions. Many of the lessons from the projects (and their evaluations) may be generalised to other mental health settings and beyond.
1999年,有三个项目获得了国家心理健康整合计划(MHIP)的资助,每个项目都采用了不同的模式,旨在改善心理健康系统不同部分之间的联系。一个国家评估框架指导了对这些项目的地方评估,本文呈现了评估结果的综合情况。对于服务提供者而言,这些项目改善了工作关系,创造了学习机会,并增加了转诊和共享护理的机会。对于消费者和护理人员来说,这些项目带来了更多的选择,并提高了护理的连续性。对于更广泛的系统而言,这些项目实现了重大的结构和文化变革。在成本方面,支出没有增加,甚至有所减少。这些项目(及其评估)中的许多经验教训可能适用于其他心理健康环境及更广泛的领域。