Bhattacharyya Onil, Schull Michael, Shojania Kaveh, Stergiopoulos Vicky, Naglie Gary, Webster Fiona, Brandao Ricardo, Mohammed Tamara, Christian Jennifer, Hawker Gillian, Wilson Lynn, Levinson Wendy
Frigon Blau Chair in Family Medicine Research Women's College Hospital, and an associate professor in the Department of Family and Community Medicine and the Institute of Health Policy, Management and Evaluation, University of Toronto, ON.
President and CEO of the Institute for Clinical Evaluative Sciences in Toronto, ON.
Healthc Q. 2016;19(2):60-66. doi: 10.12927/hcq.2016.24701.
Integrating care for people with complex needs is challenging. Indeed, evidence of solutions is mixed, and therefore, well-designed, shared evaluation approaches are needed to create cumulative learning. The Toronto-based Building Bridges to Integrate Care (BRIDGES) collaborative provided resources to refine and test nine new models linking primary, hospital and community care. It used mixed methods, a cross-project meta-evaluation and shared outcome measures. Given the range of skills required to develop effective interventions, a novel incubator was used to test and spread opportunities for system integration that included operational expertise and support for evaluation and process improvement.
为有复杂需求的人群提供综合护理具有挑战性。事实上，解决方案的证据参差不齐，因此，需要精心设计的共享评估方法来积累经验。总部位于多伦多的整合护理桥梁（BRIDGES）合作项目提供资源，以完善和测试九个连接初级、医院和社区护理的新模型。该项目采用了混合方法、跨项目元评估和共享成果指标。鉴于开发有效干预措施所需的技能范围广泛，一个新型孵化器被用于测试和推广系统整合机会，其中包括运营专业知识以及对评估和流程改进的支持。
