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.
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
1
Can service integration work for universal health coverage? Evidence from around the globe.
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.
BMJ. 2015 Apr 21;350:h2005. doi: 10.1136/bmj.h2005.
3
Integrating funds for health and social care: an evidence review.
J Health Serv Res Policy. 2015 Jul;20(3):177-88. doi: 10.1177/1355819614566832. Epub 2015 Jan 16.
4
Factors that promote and hinder joint and integrated working between health and social care services: a review of research literature.
Health Soc Care Community. 2014 May;22(3):225-33. doi: 10.1111/hsc.12057. Epub 2013 Jun 11.
5
Defining and measuring integrated patient care: promoting the next frontier in health care delivery.
Med Care Res Rev. 2011 Feb;68(1):112-27. doi: 10.1177/1077558710371485. Epub 2010 Jun 16.
6
All together now: a conceptual exploration of integrated care.
Healthc Q. 2009;13 Spec No:6-15. doi: 10.12927/hcq.2009.21091.
7
Integrated care: meaning, logic, applications, and implications--a discussion paper.
Int J Integr Care. 2002;2:e12. doi: 10.5334/ijic.67.
8
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.
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