Jiménez-Martín Sergi, Vilaplana Prieto Cristina
Universitat Pompeu Fabra, Barcelona, GSD, GEDEA, España.
Gac Sanit. 2012 Mar;26 Suppl 1:124-33. doi: 10.1016/j.gaceta.2011.06.008. Epub 2011 Oct 11.
Act 39/2006, of 14th December, for the Promotion of Personal Autonomy and the Care of Dependent Individuals establishes the basic conditions for the promotion of personal autonomy and the care of the dependent through the creation of the System of Autonomy and Care of Dependent Individuals and constitutes an excellent opportunity to make progress in the development of a health care space. The aim of healthcare integration is to move from a fragmented framework, in which individuals apply for and receive health benefits and care benefits separately, to a new model of shared responsibility. Since the 1980s, several national and regional projects of healthcare cooperation have been developed. However, although substantial efforts have been made in some autonomous regions of Spain, healthcare coordination seems to predominate over integration in the health setting.
2006年12月14日的第39/2006号法案《促进个人自主和照料依赖他人者》通过设立依赖他人者自主和照料体系,确立了促进个人自主和照料依赖他人者的基本条件,为推动医疗保健领域的发展提供了绝佳契机。医疗保健整合的目标是从一个分散的框架(即个人分别申请和获得健康福利及护理福利)转向一种共同责任的新模式。自20世纪80年代以来,已开展了若干国家和地区的医疗保健合作项目。然而,尽管西班牙的一些自治区已做出了巨大努力,但在医疗环境中,医疗协调似乎比整合更为突出。