Durand Mary Alison, Wistow Gerald, Mays Nicholas
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.
J Health Serv Res Policy. 2025 Jul;30(1_suppl):1S-10S. doi: 10.1177/13558196251349363. Epub 2025 Jul 19.
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.
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。
