英格兰的NHS裂服务是否准备好将其授权给综合护理系统?
Matthew Fell1, Ambika Chadha2, Simon van Eeden3
1Cleft Collective, University of Bristol, UK; Spires Cleft Centre, Oxford and Salisbury, UK. mattfell@doctors.org.uk.
British dental journal
|March 23, 2024
概括
英国裂护理在2024年转向区域资助,影响综合护理系统. 这种变化为解决不平等问题提供了机会,但有可能破坏标准化,以患者为中心的裂口护理服务.
科学领域:
- 医疗保健政策 医疗保健政策
- 临床服务的提供.
- 公共卫生融资 公共卫生融资
背景情况:
- 25年来,英国的裂护理服务得到了国家资助,取得了改善的临床结果.
- "2022年医疗保健法"引入了自2024年起负责区域裂护理资助的综合护理系统 (ICS).
研究的目的:
- 分析英格兰对裂口护理服务过渡到区域资助的影响.
- 突出与裂护理的新综合护理系统 (ICS) 模型相关的潜在机会和威胁.
主要方法:
- 对医疗保健政策变化的分析,关于裂护理的资金.
- 评估ICS区域足迹与现有的集中式裂服务之间的协调.
- 对服务公平性和以患者为中心的护理标准的潜在影响的评估.
主要成果:
- 区域资金公式为减少获得语音治疗和成人裂口服务方面的不平等提供了机会.
- ICS边界与当前裂服务结构之间的不匹配,对已建立的标准化护理构成威胁.
- 裂护理提供者的积极适应是必要的,以保持和改善临床标准.
结论:
- 通过ICS转向区域融资需要战略规划,以利用好处并减轻风险.
- 确保标准化,以患者为中心的护理的连续性,需要仔细管理过渡.
- 提高利益相关者意识对于成功适应新的融资模式至关重要.
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