RAND, Pittsburgh, PA USA.
Transl Behav Med. 2012 Dec;2(4):510-5. doi: 10.1007/s13142-012-0160-5.
In the United States, many health care systems function independently from one another. Increasing coordination across systems has the potential to vastly improve services and patient outcomes, yet implementing these changes can be challenging, requiring increased communication, interaction, and coordination across systems that typically function independently. Parental depression is one health issue that could benefit greatly from a comprehensive systems approach. The Helping Families Raise Healthy Children initiative is a cross-system quality improvement initiative aimed at improving identification and treatment of families faced with the dual challenge of caregiver depression and early childhood developmental delays. Four main techniques were used to foster and sustain cross-system collaboration and communication: cross-system trainings, regular meetings of collaborative partners, a cross-system learning collaborative for service providers, and two cross-system facilitators. The initiative achieved successful cross-system collaboration, suggesting that these methods may be used in other initiatives to foster similar types of collaboration across systems.
在美国，许多医疗保健系统彼此独立运作。增加系统之间的协调有可能极大地改善服务和患者的治疗效果，但实施这些改变可能具有挑战性，需要在通常独立运作的系统之间增加沟通、互动和协调。父母的抑郁是一个可以从全面的系统方法中获益的健康问题。“帮助家庭养育健康儿童”倡议是一项跨系统的质量改进倡议，旨在改善对面临照顾者抑郁和幼儿发育迟缓双重挑战的家庭的识别和治疗。为了促进和维持跨系统的协作和沟通，使用了四种主要技术：跨系统培训、协作伙伴的定期会议、服务提供者的跨系统学习合作，以及两名跨系统协调员。该倡议实现了成功的跨系统协作，这表明这些方法可以用于其他倡议中，以促进系统之间类似类型的协作。
