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评估英格兰先锋综合健康与社会护理项目中社区多学科团队的作用:背景介绍

Evaluating the role of community-based multi-disciplinary teams in England's Pioneer integrated health and social care programme: Setting the scene.

作者信息

Durand Mary Alison, Wistow Gerald, Mays Nicholas

机构信息

Associate Professor, Policy Innovation and Evaluation Research Unit, Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK.

Visiting Professor, Care Policy and Evaluation Centre, London School of Economics, London, UK.

出版信息

J Health Serv Res Policy. 2025 Jul;30(1_suppl):1S-10S. doi: 10.1177/13558196251349363. Epub 2025 Jul 19.

Abstract

This paper introduces an evaluation of community-based, integrated health and social care multi-disciplinary teams (MDTs), primarily serving older people with long-term conditions, undertaken as part of the wider evaluation (2015-2022) of the Integrated Care and Support Pioneer Programme in England (2013-2018). To explain the context within which the MDT evaluation was undertaken, we first outline a brief history of health and social care integration policy in England, describe the Pioneer Programme and the requirements of the national 'longer-term' evaluation of the Pioneers. We then explain our rationale for focusing on MDTs, describe our conceptual framework of MDT functioning and provide a brief description of the evaluation design and methods, highlighting four overarching challenges we faced in undertaking it. We then briefly describe the individual papers that constitute the current supplement.

摘要

本文介绍了一项对以社区为基础的综合健康与社会护理多学科团队(MDTs)的评估,这些团队主要服务于患有长期疾病的老年人,该评估是作为对英格兰综合护理与支持先锋计划(2013 - 2018年)更广泛评估(2015 - 2022年)的一部分进行的。为了解释进行MDT评估的背景,我们首先概述英格兰健康与社会护理整合政策的简要历史,描述先锋计划以及对先锋计划进行国家“长期”评估的要求。然后,我们解释专注于MDTs的理由,描述我们关于MDT运作的概念框架,并简要介绍评估设计和方法,突出我们在进行评估时面临的四个总体挑战。接着,我们简要描述构成当前增刊的各篇论文。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec4b/12423463/82d1f1042864/10.1177_13558196251349363-fig1.jpg

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