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整合照护:万灵药?

Integrated Care: A Pill for All Ills?

机构信息

Centre for Health Economics, University of York, York, UK.

出版信息

Int J Health Policy Manag. 2017 Jan 1;6(1):1-3. doi: 10.15171/ijhpm.2016.111.

DOI:10.15171/ijhpm.2016.111
PMID:28005536
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5193502/
Abstract

There is an increasing policy emphasis on the integration of care, both within the healthcare sector and also between the health and social care sectors, with the simple aim of ensuring that individuals get the right care, in the right place, at the right time. However, implementing this simple aim is rather more complex. In this editorial, we seek to make sense of this complexity and ask: what does integrated care mean in practice? What are the mechanisms by which it is expected to achieve its aim? And what is the nature of the evidence base around the outcomes delivered?

摘要

政策越来越强调医疗保健领域内部以及医疗保健和社会保健部门之间的护理整合,其宗旨非常简单,就是确保个人在适当的时间在适当的地点获得适当的护理。然而,要实现这一简单目标却要复杂得多。在本社论中,我们试图理解这种复杂性,并提出以下问题:在实践中,综合护理意味着什么?预期通过哪些机制来实现其目标?以及围绕所交付结果的证据基础的性质是什么?

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本文引用的文献

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Can service integration work for universal health coverage? Evidence from around the globe.服务整合能否助力全民健康覆盖?来自全球各地的证据。
Health Policy. 2016 Apr;120(4):406-19. doi: 10.1016/j.healthpol.2016.02.007. Epub 2016 Mar 2.
2
The NHS five year forward view: lessons from the United States in developing new care models.英国国家医疗服务体系(NHS)的五年展望:美国在发展新型护理模式方面的经验教训。
BMJ. 2015 Apr 21;350:h2005. doi: 10.1136/bmj.h2005.
3
Integrating funds for health and social care: an evidence review.整合卫生与社会护理资金:证据综述
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4
Factors that promote and hinder joint and integrated working between health and social care services: a review of research literature.促进和阻碍卫生与社会护理服务之间联合与整合工作的因素:研究文献综述
Health Soc Care Community. 2014 May;22(3):225-33. doi: 10.1111/hsc.12057. Epub 2013 Jun 11.
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Defining and measuring integrated patient care: promoting the next frontier in health care delivery.定义和衡量整体患者护理:推动医疗保健提供的下一个前沿。
Med Care Res Rev. 2011 Feb;68(1):112-27. doi: 10.1177/1077558710371485. Epub 2010 Jun 16.
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All together now: a conceptual exploration of integrated care.现在齐心协力:综合护理的概念性探索。
Healthc Q. 2009;13 Spec No:6-15. doi: 10.12927/hcq.2009.21091.
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Integrated care: meaning, logic, applications, and implications--a discussion paper.整合照护:含义、逻辑、应用及影响——一篇讨论文件
Int J Integr Care. 2002;2:e12. doi: 10.5334/ijic.67.
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Introducing coordinated care (2): evaluation of design features and implementation processes implications for a preferred health system reform model.
Health Policy. 2004 Aug;69(2):215-28. doi: 10.1016/j.healthpol.2004.02.001.