Veitch David
1 Alberta Health Services, Edmonton, Alberta, Canada.
Healthc Manage Forum. 2018 Sep;31(5):167-171. doi: 10.1177/0840470418794272. Epub 2018 Aug 22.
Nearly a decade has passed since Alberta folded nine regional health authorities and three government agencies into one province-wide health system: Alberta Health Services (AHS). Deemed a reckless experiment by some at the time, there is now mounting evidence province-wide integration of services across the healthcare continuum is an enabler of improved quality, safety, and financial sustainability. The article highlights specific examples of how AHS is strengthening partnerships, standardizing best practices, and driving innovation, making Alberta a national and international leader in areas such as stroke care and potentially inappropriate use of antipsychotics in long-term care. It also shows how province-wide integration is being leveraged to build workplace culture, enhance patient safety, and find operational efficiencies that result in cost savings and cost avoidance.
自艾伯塔省将九个地区卫生当局和三个政府机构合并为一个全省范围的卫生系统——艾伯塔省卫生服务局（AHS）以来，近十年已经过去了。当时一些人认为这是一次鲁莽的尝试，但现在越来越多的证据表明，全省范围内跨医疗保健连续体的服务整合是提高质量、安全性和财务可持续性的一个推动因素。本文重点介绍了一些具体事例，说明AHS如何加强伙伴关系、规范最佳实践并推动创新，使艾伯塔省在中风护理和长期护理中抗精神病药物潜在不当使用等领域成为国内和国际领先者。文章还展示了如何利用全省范围的整合来构建工作场所文化、提高患者安全，并找到提高运营效率从而节省成本和避免成本的方法。
