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确定医院和社区信托在哪里管理英格兰的一般做法:一项服务映射研究
Charlotte Davies1, Catherine L Saunders2, Fifi Olumogba1
1RAND Europe Community Interest Company, Cambridge, UK.
BJGP open
|January 16, 2024
概括
英国的二级护理信托越来越多地运行一般实践,其中26个信托管理85个实践. 在整合之前,这些综合诊所的患者数量较少,表现较差.
科学领域:
- 医疗保健管理的管理
- 医疗服务研究 医疗服务研究
- 提供初级保健服务.
背景情况:
- 从历史上看,英格兰的二级护理机构没有提供初级医疗保健服务.
- 目前正在发生初级和中等保健的"垂直整合"的转变.
- 关于这种整合的程度和影响的数据有限.
研究的目的:
- 创建一个全面的二级护理信托的数据库,在英格兰运行一般实践.
- 促进评估垂直整合在医疗保健中的影响.
主要方法:
- 一项服务映射研究,涉及公布信息的审查,整理,综合和分析.
- 从二级护理组织的年度报告收集基于桌面的数据.
- 三角化与有关一般做法,劳动力和合同的国家数据.
主要成果:
- 截至2021年3月,确定了26个NHS信托,在116个地点运营85个普通实践.
- 垂直整合的诊所往往会有较少的患者和全职医生.
- 在整合之前,这些做法在质量和成果框架中表现较差.
结论:
- 国家统计应该捕捉一般实践的所有权细节,包括NHS信托或私人组织.
- 收集关于垂直整合的数据对于评估其影响至关重要.
- 需要进一步的研究来了解综合护理模式的影响.
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