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首页> 外文期刊>International Journal of Integrated Care >Planning health services for the 21st Century; using population health intelligence to guide integrated strategic planning and investment
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Planning health services for the 21st Century; using population health intelligence to guide integrated strategic planning and investment

机译：规划21世纪的卫生服务;利用人口健康情报指导综合战略规划和投资

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Introduction : The evidence is clear that a positive start to life sets, to a significant extent, a person’s life trajectory. A great start to life is fundamental to lifelong health, wellbeing and learning. It contributes to improved economic prosperity and productivity. Investment in early childhood development creates better education, health, social and economic outcomes that reduce the need for costly social spending. ‘The best investment is in quality early childhood development from birth to five for disadvantaged children and their families’1. Short description of practice change implemented : In Queensland, Australia, Children's Health Queensland Hospital and Health Service (CHQ) has initiated and led cross-Government working to develop a population and social determinant focused ‘health intelligence capability’. The ‘Our Children and Communities Matter’ (OCCM) program integrates population data from multiple Government agency partners to inform strategic and operational planning, identify opportunities to improve efficient and responsive person-centred service delivery and, importantly, translate these findings into practical, outcome orientated service improvements. Aim and theory of change : The successful transformation of existing models of health service delivery, away from siloed ways of working and an ‘output – activity’ orientation, toward investment led, integrated systems that are person-centred and outcomes driven, will be achieved by those organisations able to understand, harness and utilise population metrics to inform organisational strategy to better predict need and ultimately invest in and configure services that can act early to meet that need. Targeted population and stakeholders : CHQ is leading the OCCM program and working in partnership with a range of health, education and social care providers and funders across the Queensland context. Timeline : OCCM was established early 2018. Highlights (innovation, Impact and outcomes) : Due to the intelligence obtained from the OCCM work, a range of targeted service improvements across primary and secondary care and establishment of a school based Community Hub (based in the suburb of Yarrabilba, in partnership with the Qld Department State Development and Queensland Department of Education and Training) have already occurred. Sustainability : This approach is sustainable within CHQ; however, full scale adaptation is dependent on Government policy. CHQ aims to continue developing the enabling functions required for success (deliver health intelligence capability and cross-sector partnerships), embed existing place-based activities as business-as-usual, and initiate, establish and embed new place-based activities based on population need and cross-government partnership drivers. Transferability : This approach is transferable to other jurisdictions, as the concept is based on the core principles of best practice and integrated care using a participatory, partnership methodology. The data sets are state-wide, and can thus be deployed at any local level. Conclusions, discussions and lessons learned : This presentation will highlight the importance of cross-agency work and the value of shared population health intelligence in driving integrated strategic planning resulting in service redesign that is outcomes focused and responsive to the needs of the community. Reference : 1- Invest in Early Childhood Development: Reduce Deficits, Strengthen the Economy; Heckman, James, J. 2012.
机译：简介：明显的证据表明，积极的人生起点在很大程度上决定了一个人的人生轨迹。生命的良好开端对于终身健康，福祉和学习至关重要。它有助于改善经济繁荣和生产力。对儿童早期发展的投资创造了更好的教育，健康，社会和经济成果，从而减少了对昂贵的社会支出的需求。 ‘最好的投资是为弱势儿童及其家庭从一岁到五岁的高质量儿童早期发展。’1实施的做法变更的简短描述：在澳大利亚昆士兰州，昆士兰州儿童健康医院和卫生服务（CHQ）发起并领导了跨政府工作，以开发针对人口和社会决定因素的“健康情报能力”。 “我们的儿童与社区事务”（OCCM）计划整合了来自多个政府机构合作伙伴的人口数据，以提供战略和运营计划，确定机会，以提高以人为本的服务的效率和响应速度，并且重要的是，将这些发现转化为实际的结果面向服务的改进。变革的目标和理论：将实现现有卫生服务提供模式的成功转变，从孤立的工作方式和“产出-活动”导向，转向以投资为主导，以人为中心和以结果为导向的综合系统那些能够理解，利用和利用人口指标来指导组织战略以更好地预测需求并最终投资并配置可以尽早满足这种需求的服务的组织。目标人群和利益相关者：CHQ领导OCCM计划，并与昆士兰各地的众多卫生，教育和社会护理提供者以及资助者合作。时间轴：OCCM成立于2018年初。要点（创新，影响和成果）：由于OCCM工作获得了情报，因此在初级和二级保健领域进行了一系列有针对性的服务改进，并建立了以学校为基础的社区中心（位于与昆士兰州发展部和昆士兰州教育与培训部合作，在亚拉比尔巴郊区开始了活动。可持续性：这种方法在总部总部是可持续的;但是，全面适应取决于政府政策。 CHQ的目标是继续开发成功所需的支持功能（提供卫生情报能力和跨部门合作伙伴关系），将现有的基于场所的活动照常进行嵌入，并启动，建立和嵌入基于人群的新的基于场所的活动需求和跨政府伙伴关系驱动力。可转移性：这种方法可转移到其他司法管辖区，因为该概念基于最佳实践和采用参与式伙伴关系方法的综合护理的核心原则。数据集是全州范围的，因此可以在任何本地级别部署。结论，讨论和经验教训：本演讲将重点强调跨机构工作的重要性以及共享的人口健康情报在推动综合战略规划，导致服务重新设计中的价值，服务重新设计注重结果并响应社区的需求。参考：1-投资于幼儿发展：减少赤字，增强经济;赫克曼（J.

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