Nelson Michelle LA, Saragosa Marianne, Miller Robin
Science of Care Institute, Sinai Health, CA.
Lunenfeld-Tanenbaum Research Institute, Sinai Health, CA.
Int J Integr Care. 2024 Jul 22;24(3):9. doi: 10.5334/ijic.8149. eCollection 2024 Jul-Sep.
Third-sector organizations (TSOs) are recognized for having a unique and essential role in designing and delivering community-centred, sustainable health and well-being services. A World Café workshop at the 2023 International Conference on Integrated Care to explore perspectives on the questions explored the question: How do we characterize the role of the Third Sector in Integrated Care Systems? Are they Partners, Service Providers, Both or Neither? Attendees from Canada, England, Scotland, Wales, Ireland, Belgium, Denmark, and the Netherlands shared perspectives regarding facilitators and barriers to engaging TSOs in integrated care systems, drawing on experiences and practices from their communities and health systems. Building from participant perspectives, we posit that while cross-sectoral alliances between government and voluntary organizations are possible, and this engagement can contribute substantial health-promoting value to society, much work remains to be done. Meaningful collaboration requires attitudinal shifts, new working methods, rebalancing power within the relationships, and sufficient resources to support the collaboration. Creative approaches to facilitating positive engagement of TSOs within integrated care systems can address long-standing barriers and misunderstandings. Sharing and learning through research, evaluations, and networks is essential to achieve integrated care systems based on trust and committed collaboration.
第三部门组织（TSOs）在设计和提供以社区为中心的可持续健康与福祉服务方面发挥着独特且至关重要的作用，这一点已得到认可。在2023年综合照护国际会议上举办的一场世界咖啡馆研讨会探讨了关于以下问题的观点：我们如何界定第三部门在综合照护系统中的作用？它们是合作伙伴、服务提供者、两者皆是还是两者皆非？来自加拿大、英格兰、苏格兰、威尔士、爱尔兰、比利时、丹麦和荷兰的与会者借鉴各自社区和卫生系统的经验与做法，分享了让第三部门组织参与综合照护系统的促进因素和障碍方面的观点。基于参与者的观点，我们认为，虽然政府与志愿组织之间跨部门联盟是可行的，且这种参与可为社会带来巨大的健康促进价值，但仍有许多工作要做。有意义的合作需要态度转变、新的工作方法、重新平衡关系中的权力以及足够的资源来支持合作。促进第三部门组织在综合照护系统中积极参与的创新方法可以消除长期存在的障碍和误解。通过研究、评估和网络进行分享与学习对于实现基于信任和坚定合作的综合照护系统至关重要。
