Global Health, Innovation and Policy Unit, Barts and The London School of Medicine and Dentistry, London.
J Health Serv Res Policy. 2013 Jan;18(1):61-4. doi: 10.1258/jhsrp.2012.012002.
Integrated care is central to current health care reforms as policy makers and practitioners struggle to address fragmentation of care planning and delivery. However, those pursuing integration have failed to appreciate the complex nature of fragmentation. We seek to bring some much-needed clarity to current debate by considering fragmentation as a 'wicked problem' requiring a locally driven and multifaceted approach to integration.
整合照护是当前医疗改革的核心，政策制定者和从业者都在努力解决照护规划和实施的碎片化问题。然而，那些追求整合的人并没有意识到碎片化的复杂性。我们试图通过将碎片化视为一个“棘手问题”，需要采用本地化驱动和多方面的整合方法，为当前的争论带来一些急需的清晰认识。
