英格兰的综合健康和护理系统:它们可以帮助预防疾病吗?
Adam D M Briggs1,2, Anya Göpfert1, Ruth Thorlby1
1The Health Foundation, London, UK.
Integrated healthcare journal
|July 13, 2023
概括
综合护理系统 (ICS) 和可持续性和转型伙伴关系 (STP) 显示疾病预防的证据很弱. 未来的计划必须解决健康的社会决定因素,以有效地改善人口健康.
科学领域:
- 公共卫生 公共卫生
- 医疗保健政策 医疗保健政策
- 综合护理系统 综合护理系统
背景情况:
- 国家卫生服务 (NHS) 越来越专注于预防疾病和改善人口健康.
- "NHS长期计划"将综合护理系统 (ICS) 和可持续性和转型伙伴关系 (STP) 确定为加强预防工作的关键机制.
- 本研究考察了NHS内疾病预防综合护理的历史背景和证据基础.
研究的目的:
- 审查将综合护理模式与疾病预防结果联系在一起的证据.
- 分析有关疾病预防和人口健康战略的2016年STP计划的内容.
- 评估NHS长期计划和2019年ICS/STP计划的目标是如何促进疾病预防.
主要方法:
- 综合护理和疾病预防现有证据的全面审查.
- 分析2016年STP计划确定预防策略,并与国家优先事项保持一致.
- 评估公共卫生团队和健康的社会决定因素在预防计划中的整合.
主要成果:
- 目前支持综合护理在疾病预防方面的有效性证据有限.
- 虽然大多数2016年STP计划包括预防策略,但许多计划缺乏与地方政府公共卫生团队合作的具体细节.
- 预防计划主要集中在个人行为上,对健康的社会决定因素的关注不足.
结论:
- 综合护理系统 (ICS) 和STP需要更强大的策略来有效预防疾病.
- 未来的综合护理计划必须明确地解决健康的社会决定因素,以改善人口健康结果.
- 弥合当前计划与长期计划关于社会决定因素的目标之间的差距对于有意义的进展至关重要.
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