Zonneveld Nick, Glimmerveen Ludo, Kenis Patrick, Toro Polanco Nuria, Johansen Anne S, Minkman Mirella M N
Tilburg University, Department of Organization Studies, Warandelaan 2, 5037 AB Tilburg, The Netherlands.
Vilans, National Centre of Expertise in Long Term Care, Utrecht, PO Box 8228, Churchilllaan 11, 3503 RE Utrecht, The Netherlands.
Int J Integr Care. 2022 Aug 8;22(3):6. doi: 10.5334/ijic.6015. eCollection 2022 Jul-Sep.
In addition to the functional aspects of healthcare integration, an understanding of its normative aspects is needed. This study explores the importance of values underpinning integrated, people-centred health services, and examines similarities and differences among the values prioritised by actors across Europe.
Explorative cross-sectional design with quantitative analysis. A questionnaire of 18 values was conducted across Europe. A total of 1,013 respondents indicated the importance of each of the values on a nine-point scale and selected three most important values. Respondents were clustered in four actor groups, and countries in four European sub-regions.
The importance scores of values ranged from 7.62 to 8.55 on a nine-point scale. Statistically significant differences among actor groups were found for ten values. Statistically significant differences across European sub-regions were found for six values. Our analysis revealed two clusters of values: 'people related' and 'governance and organisation'.
The study found that all 18 values in the set are considered important by the respondents. Additionally, it revealed distinctions in emphasis among the values prioritised by actor groups and across sub-regions. The study uncovered two clusters of values that contribute to a conceptually based definition of integrated, people-centred health services.
除了医疗保健整合的功能方面，还需要了解其规范性方面。本研究探讨了支撑以人为本的综合医疗服务的价值观的重要性，并考察了欧洲各地行为主体所优先考虑的价值观之间的异同。
采用探索性横断面设计并进行定量分析。在欧洲各地开展了一项关于18种价值观的问卷调查。共有1013名受访者按照九点量表指出了每种价值观的重要性，并选出了三种最重要的价值观。受访者被分为四个行为主体组，国家被分为欧洲四个次区域。
在九点量表上，价值观的重要性得分在7.62至8.55之间。发现十个价值观在行为主体组之间存在统计学上的显著差异。六个价值观在欧洲次区域之间存在统计学上的显著差异。我们的分析揭示了两类价值观：“与人员相关的”和“治理与组织”。
研究发现，受访者认为所列出的所有18种价值观都很重要。此外，研究还揭示了行为主体组和次区域所优先考虑的价值观在侧重点上的差异。该研究发现了两类价值观，这有助于从概念上界定以人为本的综合医疗服务。
