加拿大全面医疗整合:来自研究人员,临床医生,患者和决策者的德尔菲过程发现
Émilie Dionne1, Jeannie Haggerty2, Catherine M Scott3
1Researcher and Adjunct Professor, VITAM - Centre de recherche en santé durable, Department of Sociology, Faculty of Social Sciences, Laval University, Quebec City, QC.
Healthcare policy = Politiques de sante
|October 18, 2023
概括
加拿大利益相关者确定了关怀整合的基本服务,优先考虑心理健康,家庭护理和复杂需求人群的过渡. 有效的整合需要超越孤立的服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 综合护理模式 综合护理模式
背景情况:
- 加拿大各省在整合卫生和社会护理服务方面面临挑战.
- 需要确定有效的护理整合的基本服务,特别是针对弱势群体.
研究的目的:
- 制定加拿大关怀整合必需服务的优先清单.
- 为具有高功能需求的儿童和青少年以及功能衰退的老年人确定关键服务.
主要方法:
- 一项涉及50多个利益相关者的泛加拿大研究.
- 使用虚拟共识构建,名义群体技术和修改后的e-Delphi方法.
主要成果:
- 初级保健整合的首要服务包括心理健康和成,家庭护理,紧急-紧急-急性护理过渡,药物调和和休息护理.
- 缓解物质贫困的社会服务被认为是重要的,尽管没有个别优先考虑.
- 确定了护理整合的服务,流程和基础设施元素.
结论:
- 优先医疗和社会服务与加拿大的初级保健系统没有充分整合或连接.
- 有效的初级保健整合政策,特别是对于复杂的需求,可能需要一种更广泛的方法,超越传统的服务孤岛.
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