Kodner Dennis L
New York College of Osteopathic Medicine of New York Institute of Technology (NYIT) in Old Westbury, NY, USA.
Healthc Q. 2009;13 Spec No:6-15. doi: 10.12927/hcq.2009.21091.
Integrated care is a key strategy in reforming health systems around the world. Despite its importance, the concept's polymorphous nature and lack of specificity and clarity significantly hamper systematic understanding, successful application and meaningful evaluation. This article explores the many definitions, concepts, logics and methods found in health system and service integration. In addition to framing this evolving, albeit imprecise field, the article summarizes the main elements or building blocks of integrated care and suggests a way to address its various complexities and unknowns in a real-world sense.
整合照护是全球卫生系统改革的一项关键策略。尽管其很重要，但该概念的多态性以及缺乏特异性和清晰度严重阻碍了系统理解、成功应用和有意义的评估。本文探讨了卫生系统和服务整合中的多种定义、概念、逻辑和方法。除了界定这个不断发展但尚不精确的领域外，本文还总结了整合照护的主要要素或组成部分，并提出了一种在现实意义上应对其各种复杂性和未知因素的方法。
