Dahler-Eriksen K, Nielsen J D, Lassen J F, Olesen F
Vejle Sygehus, klinisk kemisk afdeling.
Ugeskr Laeger. 1998 Aug 24;160(35):5021-4.
There is no tradition for sharing the responsibility for episodes of care between the primary and secondary sectors in the Danish health care system. Concurrently with increased international experience with shared care programmes, there is also a growing interest in Denmark in cooperation between the sectors. Based on literature research, shared care programmes are presented as a method of ensuring continuity and quality in treatment of chronic diseases. Experiences in the areas of diabetes, asthma, rheumatoid arthritis, and cancer are described. It is concluded that the Danish health care system is well prepared for the implementation of shared care programmes; there are only few sources of payment in the system, and an extensive continuing medical education system ensures that general practitioners can participate in relevant education. The implementation of shared care programmes in Denmark should be followed by scientific evaluation and documentation of the quality of the treatment programmes.
在丹麦医疗保健系统中，初级和二级医疗部门之间不存在分担护理环节责任的传统。随着国际上共享护理计划经验的增加，丹麦对各部门间合作的兴趣也在不断增长。基于文献研究，共享护理计划被视为确保慢性病治疗连续性和质量的一种方法。文中描述了糖尿病、哮喘、类风湿性关节炎和癌症领域的经验。得出的结论是，丹麦医疗保健系统已为实施共享护理计划做好充分准备；该系统中资金来源很少，而广泛的继续医学教育体系确保了全科医生能够参与相关教育。丹麦实施共享护理计划后，应接着对治疗计划的质量进行科学评估和记录。
