卫生和社会服务的不一致的治理结构限制了复杂护理需求患者的服务整合
Catherine M Scott1, Jeannie Haggerty2, Yves Couturier3
1Adjunct Professor, University of Calgary and University of British Columbia-Okanagan, Executive Coach and Knowledge Mobilisation Consultant, K2A Consulting, Calgary, AB.
Healthcare policy = Politiques de sante
|October 18, 2023
概括
加拿大卫生和社会服务治理在各省之间存在很大差异. 尽管流行病驱动的整合需求,协调护理仍然没有实现,需要采取行动,以社区为基础的护理建议.
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
- 医疗保健管理的管理
背景情况:
- 检查了加拿大两个不同的患者群体的卫生和社会服务的治理和组织.
- 突出了加拿大各省治理结构的显著差异以及初级保健和基本卫生/社会服务之间的距离.
研究的目的:
- 分析加拿大卫生和社会服务治理和组织的格局.
- 识别不同省级医疗保健系统在综合服务提供方面的差异.
主要方法:
- 对治理配置和服务间接近性的比较分析.
- 审查卫生和社会服务供应的组织结构.
主要成果:
- 各省的治理模式和初级保健和优先卫生/社会服务之间的整合有很大差异.
- 尽管认可综合护理的重要性,特别是COVID-19后,加拿大的医疗保健系统仍在努力提供协调的服务.
结论:
- 加拿大目前的医疗保健系统并没有有效地将综合服务提供需求转化为协调护理.
- 迫切需要对全面的,以社区为基础的护理政策建议进行紧急实施,以改善服务整合.
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