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支持整合:创建一个框架,以支持在复杂系统中设计和实施临床学术整合。

Supporting integration: the creation of a framework to support the design and delivery of clinical academic integration across a complex system.

作者信息

Eftychiou Linda, Matthew Dionne, Nerio Rosalind, French Catherine

机构信息

KHP Cardiovascular & Respiratory Partnership, Guy's and St Thomas' NHS Foundation Trust, London, UK.

KHP Cardiovascular & Respiratory Partnership, Guy's and St Thomas' NHS Foundation Trust, London, UK, and hospital network lead, LOGEX, Amsterdam, The Netherlands.

出版信息

Future Healthc J. 2023 Jul;10(2):161-168. doi: 10.7861/fhj.2023-0001.

DOI:10.7861/fhj.2023-0001
PMID:37786641
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10540796/
Abstract

Transforming outcomes for patients by aligning and integrating care requires complex systems change and management across multiple organisational boundaries. This case study outlines one part of the integration journey across a partnership between three independent NHS foundation trusts with strong affiliations to two universities, the combined expertise of which places them at the forefront of being able to deliver the best heart and lung outcomes for patients. It specifically describes the process of designing, testing and implementing a bespoke tool called the Clinical Academic Integration Framework (CAIF) to support clinical and academic teams in owning, planning and delivering their paths to full integration, defined as 'one team, across multiple sites' in this context.

摘要

通过协调和整合医疗服务来改善患者的治疗效果,需要在多个组织边界进行复杂的系统变革和管理。本案例研究概述了三个独立的国民保健服务基金会信托与两所大学建立紧密合作关系的整合过程的一部分,它们的综合专业知识使它们处于能够为患者提供最佳心肺治疗效果的前沿。它具体描述了设计、测试和实施一种名为临床学术整合框架(CAIF)的定制工具的过程,以支持临床和学术团队自主掌握、规划和实现全面整合的路径,在这种情况下,全面整合被定义为“一个团队,跨多个地点”。

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Supporting integration: the creation of a framework to support the design and delivery of clinical academic integration across a complex system.支持整合:创建一个框架,以支持在复杂系统中设计和实施临床学术整合。
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How has the impact of 'care pathway technologies' on service integration in stroke care been measured and what is the strength of the evidence to support their effectiveness in this respect?“护理路径技术”对卒中护理服务整合的影响是如何衡量的,以及有哪些证据支持其在这方面的有效性?
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How has the impact of 'care pathway technologies' on service integration in stroke care been measured and what is the strength of the evidence to support their effectiveness in this respect?“护理路径技术”对中风护理服务整合的影响是如何衡量的,支持其在这方面有效性的证据力度如何?
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Adapting interventions to new contexts-the ADAPT guidance.适应新环境的干预措施——ADAPT 指南。
BMJ. 2021 Aug 3;374:n1679. doi: 10.1136/bmj.n1679.
2
The patient at the centre: evidence from 17 European integrated care programmes for persons with complex needs.中心的患者:来自 17 个欧洲综合关怀计划为有复杂需求的人的证据。
BMC Health Serv Res. 2020 Nov 30;20(1):1102. doi: 10.1186/s12913-020-05917-9.
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The persistent problem of integrated care in English NHS hospitals.英国国民健康服务体系(NHS)医院中持续存在的综合护理问题。
J Health Organ Manag. 2018 Jun 18;32(4):532-544. doi: 10.1108/JHOM-01-2018-0020. Epub 2018 Jun 29.
4
The effects of integrated care: a systematic review of UK and international evidence.综合护理的效果:对英国及国际证据的系统评价
BMC Health Serv Res. 2018 May 10;18(1):350. doi: 10.1186/s12913-018-3161-3.
5
The use of process mapping in healthcare quality improvement projects.流程映射在医疗质量改进项目中的应用。
Health Serv Manage Res. 2018 May;31(2):74-84. doi: 10.1177/0951484818770411. Epub 2018 Apr 30.
6
Integrated Care: A Pill for All Ills?整合照护:万灵药?
Int J Health Policy Manag. 2017 Jan 1;6(1):1-3. doi: 10.15171/ijhpm.2016.111.
7
The Complexity of Health Service Integration: A Review of Reviews.医疗服务整合的复杂性:综述之综述
Front Public Health. 2016 Oct 17;4:223. doi: 10.3389/fpubh.2016.00223. eCollection 2016.
8
Coproduction of healthcare service.医疗服务的共同生产
BMJ Qual Saf. 2016 Jul;25(7):509-17. doi: 10.1136/bmjqs-2015-004315. Epub 2015 Sep 16.
9
Making sense of implementation theories, models and frameworks.理解实施理论、模型和框架。
Implement Sci. 2015 Apr 21;10:53. doi: 10.1186/s13012-015-0242-0.
10
Integrated care programmes for adults with chronic conditions: a meta-review.针对患有慢性病的成年人的综合护理计划:一项元综述。
Int J Qual Health Care. 2014 Oct;26(5):561-70. doi: 10.1093/intqhc/mzu071. Epub 2014 Aug 9.