Cortis L J, Ward P R, McKinnon R A, Koczwara B
Flinders Centre for Innovation in Cancer, Flinders University, Adelaide, SA, Australia.
Discipline of Public Health, School of Health Sciences, Flinders University, Adelaide, SA, Australia.
Eur J Cancer Care (Engl). 2017 Jul;26(4). doi: 10.1111/ecc.12689. Epub 2017 Apr 20.
Integrated care is an underpinning concept of contemporary health care policy proffered as a strategy to overcome the fragmentations in care encountered by people with complex care needs (Shaw et al. [2011] What is Integrated Care? An Overview of Integrated Care in the NHS). Cancer patients have potential to benefit from such policy, often having needs that extend beyond cancer. This paper seeks to understand how the concept of integrated care is used in the cancer literature. A search of leading databases was conducted for original research relating to integrated care or an integration intervention aiming to improve outcomes of cancer patients, and analysed using textual narrative synthesis. 38 papers were included, each with a focus on improving cancer-specific aspects of care enhancing the capabilities of the cancer multidisciplinary team. Of the eight studies involving integration between the cancer service and other care providers, all focused on utilising the external provider to deliver aspects of cancer care or placed them in a passive role, as survey participant, a recipient of cancer-related clinical information or as the comparator "usual care" arm. Within the cancer literature, integration is predominantly used to describe initiatives to improve cancer-related aspects of care. Less attention is given to integration initiatives that enhance coordination across levels of the healthcare system or service providers.
综合护理是当代医疗保健政策的一个基础概念，被视为一种策略，用以克服有复杂护理需求的人群在护理过程中遇到的碎片化问题（肖等人，[2011年]《什么是综合护理？英国国家医疗服务体系中综合护理概述》）。癌症患者有可能从这样的政策中受益，因为他们的需求往往超出癌症本身。本文旨在了解综合护理概念在癌症文献中的应用方式。对主要数据库进行了检索，以查找与综合护理或旨在改善癌症患者治疗效果的整合干预相关的原始研究，并采用文本叙述综合法进行分析。共纳入38篇论文，每篇论文都侧重于改善癌症护理的特定方面，以增强癌症多学科团队的能力。在八项涉及癌症服务与其他护理提供者整合的研究中，所有研究都侧重于利用外部提供者来提供癌症护理的某些方面，或将其置于被动角色，如作为调查参与者、癌症相关临床信息的接收者或作为对照“常规护理”组。在癌症文献中，整合主要用于描述改善癌症相关护理方面的举措。对于增强医疗保健系统各层面或服务提供者之间协调的整合举措，关注较少。
