Busetto Loraine, Luijkx Katrien, Vrijhoef Hubertus Johannes Maria
Tranzo Scientific Center for Care and Welfare, Tilburg University, the Netherlands.
Panaxea B.V., Amsterdam, The Netherlands.
Int J Care Coord. 2017 Jun;20(1-2):41-44. doi: 10.1177/2053434517705732. Epub 2017 Apr 27.
Health systems around the globe implement integrated care interventions to address the Triple Aim of simultaneously improving population health, patient experiences and cost-efficiency. However, the underlying definitions and conceptualisations of integrated care often differ considerably, which makes uniform measurement and comparison difficult. Rather than agreeing on one definition of integrated care, we argue that a universal typology of integrated care interventions should be developed to enable the comparison of interventions that are based on different understandings of integrated care. This universal typology should combine rankable and intangible components with unrankable and tangible sub-components, and be conceptually sound and flexible. The content of the typology should be developed by an international consortium of relevant stakeholders.
全球各地的卫生系统都在实施综合护理干预措施，以实现同时改善人群健康、患者体验和成本效益这三重目标。然而，综合护理的基本定义和概念往往有很大差异，这使得统一的衡量和比较变得困难。我们认为，不应就综合护理的一种定义达成一致，而应开发一种综合护理干预措施的通用类型学，以便能够对基于对综合护理不同理解的干预措施进行比较。这种通用类型学应将可排名和无形的成分与不可排名和有形的子成分相结合，并且在概念上合理且灵活。该类型学的内容应由相关利益攸关方的国际联盟来制定。
