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回到未来?英国儿童综合健康服务历史的经验教训。

Back to the future? Lessons from the history of integrated child health services in England.

作者信息

Maile Edward J, Singh Ritvij, Black Georgia B, Blair Mitch, Hargreaves Dougal S

机构信息

Imperial College London, London, UK.

Imperial College School of Medicine, London, UK.

出版信息

Future Healthc J. 2022 Jul;9(2):183-187. doi: 10.7861/fhj.2021-0093.

Abstract

The UK has a long history of attempts to integrate child health services to improve outcomes, an ambition renewed in the recent . It's therefore timely to review the history of integration to inform future initiatives. Key milestones include the Platt report (1959), Court report (1976), (1999), (2004) and report (2015). These stand against a backdrop of national NHS policy changes, with a myriad of local integration initiatives and research efforts in parallel. We suggest lessons for future integration initiatives: integration may support the quadruple aim; integration depends on addressing divides between primary and secondary care; workforce and funding challenges need to be resolved before integration can thrive; high-quality research and evaluation of integrated interventions is required; strong relationships between professional groups are key to integration; and integration can help address health inequalities.

摘要

英国长期以来一直试图整合儿童健康服务以改善成果,这一雄心在近期得以重振。因此,回顾整合的历史以便为未来的举措提供参考恰逢其时。关键的里程碑包括普拉特报告(1959年)、考特报告(1976年)、[此处原文缺失相关报告名称](1999年)、[此处原文缺失相关报告名称](2004年)和[此处原文缺失相关报告名称]报告(2015年)。这些都处于国家国民健康服务体系政策变化的背景之下,同时还有众多地方整合举措和研究工作并行。我们为未来的整合举措提出了一些经验教训:整合可能有助于实现四重目标;整合取决于解决初级和二级医疗之间的分歧;在整合能够蓬勃发展之前,劳动力和资金挑战需要得到解决;需要对整合干预措施进行高质量的研究和评估;专业团体之间的牢固关系是整合的关键;并且整合有助于解决健康不平等问题。

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