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照护整合——从“一刀切”到以患者为中心的照护 述评:“为老年人实现整合照护:为未来做好系统准备还是仅仅修修补补?”

Care Integration - From "One Size Fits All" to Person Centred Care Comment on "Achieving Integrated Care for Older People: Shuffling the Deckchairs or Making the System Watertight for the Future?".

机构信息

Evidence-Based Practice Research Centre, Edge Hill University, Ormskirk, UK.

出版信息

Int J Health Policy Manag. 2018 Oct 1;7(10):955-957. doi: 10.15171/ijhpm.2018.51.

DOI:10.15171/ijhpm.2018.51
PMID:30316248
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6186468/
Abstract

Integrating services is a hot topic amongst health system policy-makers and healthcare managers. There is some evidence that integrated services deliver efficiencies and reduce service utilisation rates for some patient populations. In their article on Achieving Integrated Care for Older People, Gillian Harvey and her colleagues formulate some critical insights from practice and research around integrated care. However, the real challenge is to reconcile service integration with patient experiences. This paper argues that unless we think service integration from the patient's perspective we will continue to fail to produce the evidence we need to support integrated care solutions to the current health system challenges.

摘要

整合服务是卫生系统政策制定者和医疗保健管理者的热门话题。有一些证据表明,整合服务为某些患者群体提供了效率,并降低了服务利用率。在他们关于为老年人实现综合护理的文章中,Gillian Harvey 和她的同事们从综合护理的实践和研究中得出了一些关键的见解。然而,真正的挑战是协调服务整合与患者体验。本文认为,除非我们从患者的角度考虑服务整合,否则我们将继续无法提供我们所需的证据来支持整合护理解决方案,以应对当前的卫生系统挑战。

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本文引用的文献

1
Achieving Integrated Care for Older People: Shuffling the Deckchairs or Making the System Watertight For the Future?实现老年人的整合照护:只是修修补补,还是为未来打造一个滴水不漏的体系?
Int J Health Policy Manag. 2018 Apr 1;7(4):290-293. doi: 10.15171/ijhpm.2017.144.
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A Comprehensive Theory of Integration.整体论
Med Care Res Rev. 2020 Apr;77(2):196-207. doi: 10.1177/1077558718767000. Epub 2018 Apr 2.
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Operational integration in primary health care: patient encounters and workflows.初级卫生保健中的业务整合:患者诊疗过程与工作流程。
BMC Health Serv Res. 2017 Nov 29;17(1):788. doi: 10.1186/s12913-017-2702-5.
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Towards an international taxonomy of integrated primary care: a Delphi consensus approach.迈向国际综合初级保健分类法:德尔菲共识法。
BMC Fam Pract. 2015 May 22;16:64. doi: 10.1186/s12875-015-0278-x.
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New partnerships in health and social care for an era of public spending cuts.在公共支出削减时代的卫生和社会保健领域的新伙伴关系。
Health Soc Care Community. 2012 Mar;20(2):199-207. doi: 10.1111/j.1365-2524.2011.01031.x. Epub 2011 Sep 28.
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Partnership working in England-where we are now and where we've come from.英格兰的合作工作——我们现在的位置和我们的由来。
Int J Integr Care. 2011 Jan;11 Spec Ed(Special 10th Anniversary Edition):e002. doi: 10.5334/ijic.545. Epub 2011 Mar 7.
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Gesundes Kinzigtal Integrated Care: improving population health by a shared health gain approach and a shared savings contract.健康金齐希塔尔综合关怀:通过共同健康收益方法和共同节省合同来改善人口健康。
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Faces of integration.融合的面孔。
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A randomized clinical trial of outpatient geriatric evaluation and management.一项门诊老年医学评估与管理的随机临床试验。
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