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比利时医疗保健整合:不足,但有希望——评“医疗保健的整合还是碎片化?对一个比利时案例研究的政策和政治考察”。

Integration of Healthcare in Belgium: Insufficient, but There Is Hope Comment on "Integration or Fragmentation of Health Care? Examining Policies and Politics in a Belgian Case Study".

机构信息

Department of Public Health and Primary Care, Katholieke Universiteit Leuven, Leuven, Belgium.

出版信息

Int J Health Policy Manag. 2023;12:7179. doi: 10.34172/ijhpm.2022.7179. Epub 2022 Jul 9.

Abstract

The maturity of integrated care in Belgium is rather low. The reasons are the country's complex organization, a lack of leadership and finances, an abundance of pilot projects, very long implementation and change processes, a healthcare system driven by providers and different cultures of action. However, new projects and ongoing research can help overcome these barriers. The primary care zones in Flanders, the National Hospital Plan and the Federal Plan to support mental health in particular are luxating opportunities. Well planned research is urgently needed to confirm the hope these projects arouse.

摘要

比利时综合护理的成熟度相当低。原因是该国组织结构复杂、缺乏领导力和资金、试点项目过多、实施和变革过程非常漫长、以提供者为导向的医疗体系以及不同的行动文化。然而,新的项目和正在进行的研究可以帮助克服这些障碍。弗拉芒地区的初级保健区、国家医院计划和支持精神健康的联邦计划尤其具有变革意义。迫切需要进行精心规划的研究来证实这些项目所带来的希望。

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