健康和社会护理的整合:从国际实施案例的见解
Ricardo Correia de Matos1,2,3, Generosa do Nascimento3, Adalberto Campos Fernandes4
1Department of Psychiatry and Mental Health, Unidade Local de Saúde da Região de Aveiro (ULSRA), EPE, 3810-164 Aveiro, Portugal.
Journal of market access & health policy
|June 26, 2025
概括
整合健康和社会护理对于老龄化人口和慢性疾病至关重要. 欧洲模型显示,联合治理和数字创新是关键,但分散的系统带来了挑战,特别是在葡萄牙.
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
- 社会护理管理 社会护理管理
背景情况:
- 人口老龄化,慢性疾病和健康不平等需要综合健康和社会护理.
- 欧洲已经开发出多种模式来加强服务协调,效率和以人为中心的护理.
- 整合对于具有弹性和公平的医疗保健系统至关重要.
研究的目的:
- 探索健康和社会护理一体化的国际经验.
- 确定共同的战略,推动因素和挑战.
- 为像葡萄牙这样刚刚开始整合的国家的政策制定提供信息.
主要方法:
- 质的比较方法. 质的比较方法.
- 系统的文献审查 (PubMed,MEDLINE,谷歌学者).
- 对同行评审的文章,政策报告和政府文件进行主题分析.
主要成果:
- 关键的推动因素包括联合治理,集资,社区参与和数字创新.
- 持续的挑战包括分散的治理,不一致的实施和财务可持续性.
- 由于卫生和社会部门的结构性分离,葡萄牙面临着局限性.
结论:
- 成功的整合需要政治承诺,共同的愿景和利益相关者的合作.
- 欧洲模式为跨部门协调和预防性护理提供了可适应的教训.
- 葡萄牙需要一个有凝聚力的国家战略,加强地方实施,以及可持续的以人为中心的解决方案.
相关概念视频
Integrated Healthcare System
1.8K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.8K
Nursing Clinical Information System
879
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
879
Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
International Nursing Organizations II
1.1K
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
1.1K
Community Based Intervention
97
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
97
Methods of Documentation VI: Case Management Model
633
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
633


