Stewart Bruce, Allan Simon, Keane Barry, Marshall Bridget, Ayling Jane, Luxford Tai
Palliative Care Arohanui Hospice, Palmerston North.
N Z Med J. 2006 Sep 22;119(1242):U2235.
The health reforms of the 1990s and early 21st century have seen unheralded change in the delivery of health services in New Zealand, and the concept of integration of primary and specialist or secondary services into a seamless health delivery service is one of the key planks of national and regional healthcare planning in New Zealand. This paper reports on a successful primary secondary integration project. Starting with commentary on the historical difficulties that acted as a catalyst to this initiative, it reports on the development process, how the model works in practice, and outlines some initial evaluation work done as part of its quality improvement component. Given the collaborative nature of this project and its scope across primary and specialist care sectors, the authors believe this model has implications and relevance across a wide spectrum of the New Zealand health service.
20世纪90年代和21世纪初的医疗改革见证了新西兰医疗服务提供方面前所未有的变化，将初级医疗服务与专科或二级医疗服务整合为无缝衔接的医疗服务体系这一理念，是新西兰国家和地区医疗规划的关键支柱之一。本文报告了一个成功的初级-二级医疗整合项目。文章首先阐述了促成该项目的历史难题，接着报告了其发展过程、该模式在实际中的运作方式，并概述了作为质量改进组成部分所开展的一些初步评估工作。鉴于该项目的协作性质及其在初级医疗和专科医疗领域的覆盖范围，作者认为该模式对新西兰广泛的医疗服务具有借鉴意义。
