Bhattacharyya Onil, Shaw James, Sinha Samir, Gordon Dara, Shahid Simone, Wodchis Walter P, Anderson Geoffrey
Onil Bhattacharyya is Frigon Blau Chair in Family Medicine Research, Women's College Hospital, University of Toronto, in Ontario.
James Shaw is a scientist at the Women's College Hospital Institute for Health System Solutions and Virtual Care (WHIV), in Toronto.
Health Aff (Millwood). 2020 Apr;39(4):689-696. doi: 10.1377/hlthaff.2019.00826.
High-income countries face the challenge of providing effective and efficient care to the relatively small proportion of their populations with high health and social care needs. Recent reports suggest that integrated health and social care programs target specific high-needs population segments, coordinate health and social care services to meet their clients' needs, and engage clients and their caregivers. We identified thirty health and social care programs in eleven high-income countries that delivered care in new ways. We used a structured survey to characterize the strategies and activities used by these programs to identify and recruit clients, coordinate care, and engage clients and caregivers. We found that there were some common features in the implementation of these innovations across the eleven countries and some variation related to local context or the clients served by these programs. Researchers could use this structured approach to better characterize the core components of innovative integrated care programs. Policy makers could use this approach to provide a common language for international policy exchange, and this structured characterization of successful programs could play an important role in spreading them and scaling them up.
高收入国家面临着为其人口中相对较小比例的、有较高医疗和社会护理需求的人群提供有效且高效护理的挑战。近期报告表明，综合医疗和社会护理项目针对特定的高需求人群细分群体，协调医疗和社会护理服务以满足其客户需求，并让客户及其护理人员参与其中。我们在11个高收入国家中确定了30个以新方式提供护理的医疗和社会护理项目。我们使用结构化调查来描述这些项目用于识别和招募客户、协调护理以及让客户和护理人员参与的策略和活动。我们发现，在这11个国家中，这些创新举措的实施存在一些共同特征，也存在一些与当地背景或这些项目所服务的客户相关的差异。研究人员可以使用这种结构化方法来更好地描述创新型综合护理项目的核心组成部分。政策制定者可以使用这种方法为国际政策交流提供一种通用语言，而这种对成功项目的结构化描述在推广和扩大这些项目方面可以发挥重要作用。
