摘要
近年来英国将卫生服务与社会服务体系进行整合,各地在对整合型保健进行探索与试点过程中产生了一些典型做法,并取得了较为明显的成效。本文主要通过现场观察与深度访谈的定性研究方法,以英国牛津郡对整合型保健服务的探索为典型案例,对其精神卫生服务保健方案以及社区急诊多学科团队的服务方式进行了分析。研究认为英国整合型保健将初级卫生保健和社区卫生服务作为卫生体系的核心,与其他社会服务进行整合,其多学科服务团队、整合型的服务路径、个性化服务方案、强调病人参与和自主等做法为我国医改过程中卫生服务体系的改革提供借鉴。
An integration of British healthcare and social services has been underway in recent years,and a typical methodology has been formed in the process of regional explorations. Using qualitative research methods of on-site observation and in-depth interviews,the paper studies the Care Programme Approach（ CPA） system of mental health and emergency multidisciplinary teams of Oxfordshire,a typical case of the integrated healthcare system reforms in the British healthcare system. England＇s integrated healthcare reforms have placed primary care and community health services at the center of the healthcare system and have included social services within the system. The experiences of multidisciplinary teams,integrated care pathways,personalized care planning and patient involvement and independence from the reforms are worthy subjects of study for China＇s own healthcare delivery system reforms.
出处
《中国卫生政策研究》
CSCD
2014年第9期69-75,共7页
Chinese Journal of Health Policy
基金
美国中华医学基金会(CMB)卫生系统研究与政策转化合作项目(11-061)
关键词
整合型保健
保健方案
急诊多学科团队
Integrated healthcare
Care programme Approach
Emergency multidisciplinary teams
