Previously Social Policy Research Unit, University of York, York, North Yorkshire, YO10 5DD, UK and Currently Institute of Health Services Research, Peninsula College of Medicine and Dentistry, Universities of Exeter and Plymouth, The Veysey Building, Salmon Pool Lane, Exeter, Devon, EX2 4SG, UK.
Int J Integr Care. 2012 Apr-Jun;12:e12. doi: 10.5334/ijic.794. Epub 2012 Apr 13.
A Continuity of Care Research Programme was undertaken in England in 2000-9. The Programme was informed by a conceptual framework proposed by Freeman and colleagues in an earlier scoping study. At the end of the Programme, a conceptual synthesis was carried out in order to confirm or refine the 'Freeman model' of continuity of care.
A conceptual synthesis of the outputs of the Programme, using Critical Interpretive Synthesis.
The conceptual framework underpinning the Freeman model of continuity of care, which prioritises the perspectives of service users and carers, was variously utilised in the Programme. Analysis revealed indications of an emerging shift from the patient and carer 'perspectivist' paradigm of the Freeman model towards a new 'partnership' paradigm where continuity is recognised to be co-constructed by patients, families and professionals, all of whom have an active part to play in its accomplishment.
The projects in the Programme have advanced understanding of patients' perspectives on continuity of care and on the complex nature of this concept. At the same time, they have raised issues and reported findings which may be indicative of an emergent paradigm shift in this area of research, towards a more dynamic partnership model.
2000 年至 2009 年，英国开展了一项连续性护理研究计划。该计划的理念框架源自 Freeman 及其同事在早期的探索性研究中提出的概念框架。在该计划结束时，为了确认或完善连续性护理的“Freeman 模型”，进行了概念综合。
使用关键解释性综合方法对计划的成果进行概念综合。
Freeman 连续性护理模型的概念框架优先考虑服务使用者和照顾者的观点，在该计划中得到了不同程度的应用。分析表明，从 Freeman 模型中患者和照顾者的“视角主义”范式向新的“伙伴关系”范式出现了转变的迹象，在这种范式中，连续性被认为是由患者、家庭和专业人员共同构建的，他们在实现连续性方面都发挥着积极的作用。
该计划中的项目提高了对患者对连续性护理的看法以及对这一概念的复杂性的理解。与此同时，他们提出了一些问题，并报告了一些可能表明这一研究领域出现范式转变的发现，朝着更具活力的伙伴关系模式转变。
