Koivisto Juha, Tiirinki Hanna, Liukko Eeva
Finnish Institute for Health and Welfare, FI.
Int J Integr Care. 2022 Aug 12;22(3):8. doi: 10.5334/ijic.6000. eCollection 2022 Jul-Sep.
This paper analyses and discusses the models and tools in the Finnish health and social care system to identify the individuals who might benefit from integrated multidisciplinary care.
The analysis and discussion of the paper is based on a study which mapped and studied the models and tools in practice or under development for identification in the Finnish health and social care organizations. The study used electric survey and structured interviews as research methods.
There are several different established models of identification in Finland and the experiences of using them are mainly positive. However, only every third of health and social care organizations in Finland have defined a common model or tool. The identification practices and criteria vary by region, municipality and/or organization. The identification is in general unsystematic and insufficient in practice that may inhibit the individuals to access the integrated care they might benefit from.
Models and tools are needed for founding and identifying individuals who are outside the service system, those whose client-ship has just begun, and those who already access services. The identification of individuals for integrated multidisciplinary care and the assimilation and understanding of different identification models and tools requires the development of basic and further competence in the different fields of health and social care. Multidisciplinary collaboration requires shared concepts and positive attitudes on the development of integrated professional environments, identification models and services. It is therefore also a question of shared working culture.
本文分析并讨论了芬兰卫生和社会护理系统中用于识别可能从综合多学科护理中受益的个体的模型和工具。
本文的分析和讨论基于一项研究，该研究绘制并研究了芬兰卫生和社会护理组织中实际使用或正在开发的用于识别的模型和工具。该研究采用电子调查和结构化访谈作为研究方法。
芬兰有几种不同的既定识别模型，使用这些模型的经验总体上是积极的。然而，芬兰只有三分之一的卫生和社会护理组织定义了通用模型或工具。识别实践和标准因地区、市政当局和/或组织而异。识别在实践中总体上缺乏系统性且不充分，这可能会阻碍个体获得他们可能受益的综合护理。
需要模型和工具来发现和识别那些不在服务系统内的个体、那些刚刚开始接受服务的个体以及那些已经接受服务的个体。识别综合多学科护理的个体以及吸收和理解不同的识别模型和工具需要在卫生和社会护理的不同领域发展基础能力和进一步的能力。多学科合作需要在综合专业环境、识别模型和服务的发展方面有共同的概念和积极的态度。因此，这也是一个共享工作文化的问题。
