Mackie Sue, Darvill Angela
Lead Nurse, Quality and Safety, Bolton Clinical Commissioning Group, England.
Senior Lecturer, Human and Health Sciences, Huddersfield University, West Yorkshire, England.
Br J Community Nurs. 2016 Feb;21(2):82-7. doi: 10.12968/bjcn.2016.21.2.82.
In spite of ongoing UK Government recommendations for integrated health and social care, the implementation has been slow. While there are pockets of integration happening across England, many services remain isolated and fragmented.
This review aims to critically review existing evidence to identify if there are any factors enabling successful implementation of integrated health and social care for people with long-term conditions in the community.
A review was conducted following the principles of a systematic review. Relevant data was extracted from the identified papers and the papers were quality appraised.
A total of seven studies were included in the review. Data analysis and synthesis identified a number of themes in relation to enablers of integrated care, including co-location of teams, communication, integrated organisations, management and leadership, capacity and resources, and information technology.
There is a limited amount of evidence regarding integrated health and social care teams. Although there are some consistencies within the findings, further research is needed to enhance the validity of the body of evidence available.
尽管英国政府持续建议推行综合健康与社会护理,但实施进程缓慢。尽管英格兰各地有一些整合的范例,但许多服务仍处于孤立和分散状态。
本综述旨在批判性地审视现有证据,以确定是否存在任何因素有助于在社区中为慢性病患者成功实施综合健康与社会护理。
按照系统综述的原则进行综述。从已识别的论文中提取相关数据,并对论文进行质量评估。
本综述共纳入七项研究。数据分析与综合确定了一些与综合护理促成因素相关的主题,包括团队同址办公、沟通、整合型组织、管理与领导、能力与资源以及信息技术。
关于综合健康与社会护理团队的证据有限。尽管研究结果存在一些一致性,但仍需进一步研究以提高现有证据的有效性。