Busetto Loraine
Tilburg University, NL.
Int J Integr Care. 2016 Dec 31;16(4):16. doi: 10.5334/ijic.2555.
There are great expectations regarding the potential contribution of integrated care interventions to improved outcomes, but so far the evidence is mixed. In this dissertation, we focussed on why, when and how some integrated care interventions contribute to improved outcomes, while others do not. To this purpose, we developed the COMIC Model for studying the ontext, utcomes and echanisms of ntegrated are interventions. Evaluations that make use of the COMIC Model take into account the context in which an intervention is implemented and can thereby provide insights into why an intervention does (not) work and how the intervention and/or the context can be changed to achieve improved outcomes.
人们对综合护理干预措施在改善治疗效果方面的潜在贡献寄予厚望，但到目前为止，证据好坏参半。在本论文中，我们关注的是为什么有些综合护理干预措施能改善治疗效果，而有些则不能，以及何时、如何起作用。为此，我们开发了COMIC模型，用于研究综合护理干预措施的背景、结果和机制。利用COMIC模型进行的评估考虑了实施干预措施的背景，从而能够深入了解干预措施为何有效（或无效），以及如何改变干预措施和/或背景以实现更好的治疗效果。
