Erskine Jonathan, Castelli Michele, Hunter David, Hungin Amritpal
Durham University , Stockton-on-Tees, UK.
Institute of Health and Society, Newcastle University , Newcastle upon Tyne, UK.
J Health Organ Manag. 2018 Jun 18;32(4):532-544. doi: 10.1108/JHOM-01-2018-0020. Epub 2018 Jun 29.
Purpose The purpose of this paper is to determine whether some aspects of the distinctive Mayo Clinic care model could be translated into English National Health Service (NHS) hospital settings, to overcome the fragmented and episodic nature of non-emergency patient care. Design/methodology/approach The authors used a rapid review to assess the literature on integrated clinical care in hospital settings and critical analysis of links between Mayo Clinic's care model and the organisation's performance and associated patient outcomes. Findings The literature directly concerned with Mayo Clinic's distinctive ethos and approach to patient care is limited in scope and largely confined to "grey" sources or to authors and institutions with links to Mayo Clinic. The authors found only two peer-reviewed articles which offer critical analysis of the contribution of the Mayo model to the performance of the organisation. Research limitations/implications Mayo Clinic is not the only organisation to practice integrated, in-hospital clinical care; however, it is widely regarded as an exemplar. Practical implications There are barriers to implementing a Mayo-style model in English NHS hospitals, but they are not insurmountable and could lead to much better coordination of care for some patients. Social implications The study shows that there is an appetite among NHS patients and staff for better coordinated, multi-specialty care within NHS hospitals. Originality/value In the English NHS integrated care generally aims to improve coordination between primary, community and secondary care, but problems remain of fragmented care for non-emergency hospital patients. Use of a Mayo-type care model, within hospital settings, could offer significant benefits to this patient group, particularly for multi-morbid patients.
目的 本文旨在确定梅奥诊所独特的护理模式的某些方面是否可以应用于英国国家医疗服务体系（NHS）的医院环境中，以克服非急诊患者护理的碎片化和阶段性特点。
设计/方法/途径 作者采用快速回顾的方法来评估有关医院环境中综合临床护理的文献，并对梅奥诊所的护理模式与该机构的绩效及相关患者结局之间的联系进行批判性分析。
发现 直接涉及梅奥诊所独特的患者护理理念和方法的文献范围有限，主要限于“灰色”文献来源，或与梅奥诊所有关联的作者和机构。作者仅找到两篇经过同行评审的文章，它们对梅奥模式对该机构绩效的贡献进行了批判性分析。
研究局限性/影响 梅奥诊所并非唯一实行医院内综合临床护理的机构；然而，它被广泛视为典范。
实际意义 在英国NHS医院实施梅奥式模式存在障碍，但并非无法克服，且可能为一些患者带来更好的护理协调。
社会影响 该研究表明，NHS的患者和工作人员希望在NHS医院获得更好协调的多专科护理。
原创性/价值 在英国NHS中，综合护理通常旨在改善初级、社区和二级护理之间的协调，但非急诊住院患者的护理碎片化问题仍然存在。在医院环境中采用梅奥式护理模式可能会给这一患者群体带来显著益处，特别是对于患有多种疾病的患者。
