Cash-Gibson Lucinda, Tigova Olena, Alonso Albert, Binkley George, Rosenmöller Magda
Universitat Pompeu Fabra, Ramon Trias Fargas, 25-27, Barcelona, Catalonia, ES.
Institut Català d'Oncologia, Avinguda de la Granvia, 199-203, L'Hospitalet de Llobregat, Barcelona, Catalonia, ES.
Int J Integr Care. 2019 Feb 1;19(1):3. doi: 10.5334/ijic.4178.
People-centred integrated care is an acknowledged approach to improve the quality and effectiveness of health systems in delivering care around people's needs and preferences. Nevertheless, more guidance on how to effectively design, implement and evaluate the care process of people-centred integrated care services is needed. Under Project INTEGRATE, a framework was developed to guide managers in the assessment, transformation and delivery of these health service innovations.
The framework is a product of the synthesis of operations, service and project management literature, relevant health care literature, and the analysis of four good practice integrated care case studies analysed under Project INTEGRATE. A first iteration of the framework was developed and then applied to one of the integrated care case studies to test its validity and utility.
The tool combines a number of important considerations and criteria that have not been previously included in integrated care assessment frameworks, allowing for a pragmatic and comprehensive analysis of the care process.
This framework can be used as a stand-alone or combined tool to guide managers to plan and evaluate the care process design of people-centred integrated care services; future work should apply this tool to other settings.
以人为本的综合护理是一种公认的方法，可提高卫生系统围绕人们的需求和偏好提供护理的质量和有效性。然而，需要更多关于如何有效设计、实施和评估以人为本的综合护理服务护理过程的指导。在“整合项目”下，开发了一个框架，以指导管理人员对这些卫生服务创新进行评估、转型和提供。
该框架是综合运营、服务和项目管理文献、相关医疗保健文献以及对“整合项目”下分析的四个良好实践综合护理案例研究进行分析的产物。框架的第一个版本被开发出来，然后应用于其中一个综合护理案例研究，以测试其有效性和实用性。
该工具结合了一些以前未纳入综合护理评估框架的重要考虑因素和标准，从而能够对护理过程进行务实而全面的分析。
该框架可作为独立工具或组合工具，指导管理人员规划和评估以人为本的综合护理服务的护理过程设计；未来的工作应将此工具应用于其他环境。
