Federal University of Rio Grande do Sul, CEP 90035-190 Porto Alegre, Brasil.
HERD. 2010 Winter;3(2):84-96. doi: 10.1177/193758671000300208.
Currently in the United Kingdom there is a trend to broaden the scope of service provision in the healthcare sector. Not only are new healthcare-related services being provided to the community, but also there is increasing concern for providing services to extend the life cycle of built facilities. This trend is similar to what has been observed in manufacturing, where different approaches are used to combine products and services, generating high-value integrated solutions.This article analyzes integrated-solution approaches that have been adopted in the manufacturing sector and compares them to trends that are emerging in the healthcare sector. The practical implications of these trends in the UK healthcare sector are also pointed out. This study discusses how to improve value generation by combining products and services; it also addresses the need for a value-creating system that is capable of developing and sustaining new healthcare infrastructures.Some of the major changes needed to achieve fully integrated solutions in healthcare-such as supporting policies for innovation and stakeholder engagement-are pointed out. However, understanding the theoretical concept behind such approaches (and thus how value can be generated) and the challenges associated with introducing them into practice seem to be the first steps toward achieving integrated solutions in the healthcare context.
目前，英国医疗保健行业有扩大服务范围的趋势。不仅为社区提供新的医疗相关服务，而且越来越关注提供服务以延长建筑设施的生命周期。这种趋势类似于制造业中观察到的情况，制造业采用不同的方法将产品和服务结合起来，产生高价值的综合解决方案。本文分析了制造业中采用的综合解决方案方法，并将其与医疗保健领域正在出现的趋势进行了比较。还指出了这些趋势在英国医疗保健行业的实际意义。本研究讨论了如何通过结合产品和服务来提高价值创造；它还解决了需要一个能够开发和维持新医疗基础设施的创造价值的系统。指出了在医疗保健领域实现完全集成解决方案所需的一些重大变革，例如支持创新和利益相关者参与的政策。然而，理解此类方法背后的理论概念（以及如何产生价值）以及将它们引入实践所面临的挑战，似乎是在医疗保健环境中实现综合解决方案的第一步。
