Department of Nursing, Durban University of Technology, Durban, South Africa.
J Nurs Manag. 2013 Mar;21(2):387-95. doi: 10.1111/j.1365-2834.2012.01420.x. Epub 2012 Jun 19.
To analyse integrated primary health care and ultimately develop a model for integrated care.
In South Africa, Integration of Services Policy was enacted in 1996 with the aim of increasing health service utilization. However, the problem with the policy arises in the implementation of integrated primary health care as there is no agreed understanding of what this phenomenon means in the South African context.
A cross-sectional study, using Strauss and Corbin's grounded theory approach was utilised. Policy makers as well as primary health care nurses at functional level participated in the study. The data was collected by means of observations and interviews. The sample size for interviews comprised 38 participants.
Integrated primary health care was understood either as comprehensive health care, supermarket approach or one-stop shop.
It was concluded that integrated primary health care meant different things in different contexts.
Integrated primary health care, if implemented, would advance health equity in all countries rich and poor and, as a result, promote human and national development. This model could be used to guide policy formulation and implementation of integrated primary health care at provincial and national levels.
分析综合初级卫生保健，并最终为综合护理开发一个模型。
在南非，1996 年颁布了《服务整合政策》，旨在提高卫生服务利用率。然而，该政策在实施综合初级卫生保健方面存在问题，因为对于这一现象在南非背景下意味着什么，没有达成共识。
使用 Strauss 和 Corbin 的扎根理论方法进行了一项横断面研究。政策制定者以及功能层面的初级卫生保健护士参与了这项研究。通过观察和访谈收集数据。访谈的样本量由 38 名参与者组成。
综合初级卫生保健被理解为全面的卫生保健、超市方法或一站式服务。
综合初级卫生保健在不同的背景下有不同的含义。
如果实施综合初级卫生保健，将在所有富国和穷国都推进卫生公平，并因此促进人类和国家发展。该模型可用于指导省级和国家级综合初级卫生保健的政策制定和实施。
