• 主题
高级搜索  >
历史搜索 清空历史
首页> 美国卫生研究院文献>Epidemiology and Psychiatric Sciences >Regional planning for meaningful person-centred care in mental health: context is the signal not the noise
【2h】

Regional planning for meaningful person-centred care in mental health: context is the signal not the noise

机译：精神卫生方面以人为本的有意义护理的区域规划：情境是信号而不是噪音

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Person-centred care is at the core of a value-based health system. Its transformative potential is to enable and support key policy, planning and service developments across the system even when these go against the self-interest of individual major players. It offers a potent test for decision makers at all levels. It demands responses that are multi-level, empirically grounded, expert-informed and data-driven that must converge on the singularity of individuals in the places that they live. This requires different approaches that recognise, respect and reconcile two necessary but constitutionally disparate perspectives: the bureaucratic, overtly decontextualised, top-down, policy and planning objectives of central governments and the formally complex, dynamic and contextualised experience of individuals in the system. Conflating the latter with the former can lead unwittingly to a pervasive and reductive form of quasi-Taylorism that nearly always creates waste at the expense of value. This has parallel application in the treatment domain where outcomes are non-randomly clustered and partitioned by socioeconomic status, amplifying unwarranted variation by place that is striking in its magnitude and heterogeneity. In this paper, we propose that a combination of (1) relevant, local and sophisticated data planning, collection and analysis systems, (2) more detailed person-centred service planning and delivery and (3) system accountability through co-design and transparent public reporting of health system performance in a manner that is understandable, relevant, and locally applicable are all essential in ensuring planned and provided care is most appropriate to more than merely the ‘average’ person for whom the current system is built. We argue that only through a greater appreciation of healthcare as a complex adaptive (eco)system, where context is everything, and then utilising planning, analysis and management methodologies that reflect this reality is the way to achieve genuine person-centred care.
机译：以人为本的护理是基于价值的卫生系统的核心。它的变革潜力是在整个系统中启用和支持关键策略，规划和服务开发，即使这些违背了各个主要参与者的自身利益。它为各级决策者提供了有力的考验。它要求采取多层次的，基于经验的，基于专家的信息和数据驱动的应对措施，这些应对措施必须融合个人在其居住地的独特性。这就要求采取不同的方法来认识，尊重和调和两种必要的但在宪法上截然不同的观点：中央政府的官僚主义，公开脱上下文，自上而下，政策和计划目标以及系统中个人形式上复杂，动态和背景化的经验。将后者与前者混为一谈会无意间导致准泰勒主义的普遍化和还原性形式，几乎总是在浪费价值的情况下造成浪费。这在治疗领域中具有并行应用，在该领域中，结果根据社会经济状况被非随机地聚集和划分，从而放大了因其幅度和异质性而异的地方的不必要的变异。在本文中，我们建议将（1）相关的，本地的和复杂的数据计划，收集和分析系统，（2）更详细的以人为中心的服务计划和交付以及（3）通过共同设计和透明的系统问责制相结合以易于理解，相关和本地适用的方式公开报告卫生系统的绩效，对于确保计划和提供的护理最适合的不仅仅是不仅仅是构建当前系统的“普通”人，这一切都是至关重要的。我们认为，只有通过将医疗保健作为复杂的适应性（eco）系统得到更大的重视，在这种情况下环境是一切，然后利用反映这一现实的计划，分析和管理方法，才能实现真正的以人为本的护理。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号