Ellis Louise A, Churruca Kate, Braithwaite Jeffrey
Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Level 6, 75 Talavera Rd, North Ryde, NSW 2109 Australia.
Int J Ment Health Syst. 2017 Jun 29;11:43. doi: 10.1186/s13033-017-0150-6. eCollection 2017.
Despite many attempts at promoting systems integration, seamless care, and partnerships among service providers and users, mental health services internationally continue to be fragmented and piecemeal. We exploit recent ideas from complexity science to conceptualise mental health services as complex adaptive systems (CASs). The core features of CASs are described and Australia's initiative is used as an example of the kinds of problems currently being faced. We argue that adopting a CAS lens can transform services, creating more connected care for service users with mental health conditions.
尽管为促进系统整合、无缝护理以及服务提供者与使用者之间的伙伴关系做出了诸多努力,但国际上的心理健康服务仍然是分散且零碎的。我们运用复杂性科学的最新理念,将心理健康服务概念化为复杂适应系统(CASs)。文中描述了复杂适应系统的核心特征,并以澳大利亚的举措为例,说明当前面临的各类问题。我们认为,采用复杂适应系统的视角可以变革服务,为有心理健康问题的服务使用者创造更具连贯性的护理。