McCormick I R, Boyd M A
Northern Regional Health Authority, Auckland.
N Z Med J. 1994 Oct 26;107(988):425-7.
Integration of primary and secondary health care is a goal of the 1993 New Zealand health reforms. Focus groups were selected to raise options and stimulate improved integration between primary and secondary care in the Auckland metropolitan and rural areas. Cooperation, communication, coordination, were considered relevant. Several detailed recommendations were produced. They fell into six groups; (1) liaison committees or meetings, (2) communication, (3) referral admission discharge, (4) joint ventures, (5) horizontal integration and (6) general. A key recommendation was that regional health authorities should fund liaison committees or functions to promote inter provider integration. The findings of the focus groups are placed in context of the wider requirements for integration. These are integrated funding, integrated information systems, integrated purchasing and utilisation management.
初级卫生保健与二级卫生保健的整合是1993年新西兰卫生改革的一个目标。选取了焦点小组以提出方案并促进奥克兰市区和农村地区初级保健与二级保健之间更好的整合。合作、沟通、协调被认为是相关的。提出了若干详细建议。它们分为六类：（1）联络委员会或会议，（2）沟通，（3）转诊、入院、出院，（4）合资企业，（5）横向整合，以及（6）一般事项。一项关键建议是，地区卫生当局应为联络委员会或相关职能提供资金，以促进各医疗服务提供者之间的整合。焦点小组的调查结果置于更广泛的整合要求背景下。这些要求包括整合资金、整合信息系统、整合采购和利用管理。
