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首页> 美国卫生研究院文献>International Journal of Integrated Care >Integrating Care in Norfolk (ICN)—A case study on a two-year programme to improve integrated working between primary care community health services and social care in six localities
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Integrating Care in Norfolk (ICN)—A case study on a two-year programme to improve integrated working between primary care community health services and social care in six localities

机译：诺福克的综合护理（ICN）—一项为期两年的计划的案例研究以改善六个地区的初级保健社区卫生服务和社会护理之间的综合工作

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The ICN programme was designed to test ways of integrating health and social care services in six localities with a population of nearly 300,000 residents with the objective of improving patient and staff satisfaction, and reducing demands on secondary care. The ICN programme is one of 16 national integrated care pilots in England.Data were sourced from questionnaires, focus groups, interviews, and recorded service activity. A core group of practitioners in each locality focused on redesigning services according to their local circumstances in order to improve care for adults and older people with complex care needs. Local arrangements included developing multidisciplinary teams based in GP practices, with coordinators operating in a local hub. 845 patients received ICN interventions.The study showed high levels of satisfaction from patients and staff, with surveyed staff being unanimous that this way of working should continue. A study of 12 of the 32 GP practices that engaged early in the programme showed a 31% reduction in unplanned admissions to hospital between the first and second year of the pilot. Issues included the time required for building trust and communication, the importance of building a platform for integrating care locally and extending to a whole-system approach.
机译：ICN计划旨在测试在将近30万居民的六个地区整合健康和社会护理服务的方法，目的是提高患者和员工的满意度，并减少对二级护理的需求。 ICN计划是英格兰16个国家级综合护理试点计划之一，数据来自问卷，焦点小组，访谈和记录的服务活动。每个地区的核心从业者团队致力于根据当地情况重新设计服务，以改善对有复杂护理需求的成年人和老年人的护理。当地的安排包括建立基于GP实践的多学科团队，协调员在当地枢纽开展工作。 845名患者接受了ICN干预。研究表明，患者和医护人员的满意度很高，接受调查的医护人员一致认为这种工作方式应继续下去。对早期参与该计划的32种GP做法中的12种进行的研究表明，在飞行员的第一年和第二年之间，计划外的住院人数减少了31％。问题包括建立信任和沟通所需的时间，建立在本地集成护理并扩展到整个系统方法的平台的重要性。

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