Faculty of Health & Social Care, Anglia Ruskin University, UK.
J Interprof Care. 2010 Nov;24(6):699-709. doi: 10.3109/13561821003590831.
Condition Management Programmes (CMPs) were established in seven pilot sites in the UK as one strand of the Incapacity Benefit Pathways to Work programme, an initiative that exemplifies interprofessional working beyond traditional healthcare boundaries. The qualitative evaluation of the pilot sites employed a realistic evaluation approach and used focus group discussions and telephone interviews to examine stakeholders' perceptions of interprofessional working and its impact on service provision and practice. Although teething problems were experienced in establishing the interprofessional working necessary for success, a shared commitment to the CMP ethos enabled these to be largely overcome. Outstanding issues raised by participants concerned the boundaries around the CMPs' new ways of working, in particular around treatment versus self-management and around the combined health and work focus of the pilots. One of the recommendations from a recent review of the health of Britain's working population was for a drive to promote the understanding of the positive relationship between health and work. The experiences of the staff involved in the CMP pilots provides a useful insight into the benefits and difficulties experienced in relation to interprofessional working between different professional groups in this area.
条件管理计划（CMPs）在英国的七个试点地区设立，作为能力福利工作途径计划的一部分，该计划体现了超越传统医疗保健边界的跨专业工作。对试点地区的定性评估采用了现实评估方法，并使用焦点小组讨论和电话访谈来检查利益相关者对跨专业工作的看法及其对服务提供和实践的影响。尽管在建立成功所需的跨专业工作方面遇到了一些初期问题，但对 CMP 理念的共同承诺使得这些问题在很大程度上得到了克服。参与者提出的突出问题涉及到 CMP 新工作方式的边界，特别是在治疗与自我管理之间，以及试点项目中健康与工作的综合焦点。最近对英国工作人口健康状况的审查提出了一项建议，即大力促进对健康与工作之间积极关系的理解。参与 CMP 试点项目的工作人员的经验为了解在该领域不同专业群体之间进行跨专业工作所带来的益处和困难提供了有用的见解。
