• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Health & social care in the community >Whole-system approaches to health and social care partnerships for the frail elderly: an exploration of North American models and lessons.
【24h】

Whole-system approaches to health and social care partnerships for the frail elderly: an exploration of North American models and lessons.

机译：脆弱老人的健康和社会护理合作伙伴关系的全系统方法：对北美模式和课程的探索。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Irrespective of cross-national differences in long-term care, countries confront broadly similar challenges, including fragmented services, disjointed care, less-than-optimal quality, system inefficiencies and difficult-to-control costs. Integrated or whole-system strategies are becoming increasingly important to address these shortcomings through the seamless provision of health and social care. North America is an especially fertile proving ground for structurally oriented whole-system models. This article summarises the structure, features and outcomes of the Program of All-Inclusive Care for Elderly People (PACE) programme in the United States, and the Systeme de soins Integres pour Personnes Agees (SIPA) and the Programme of Research to Integrate Services for the Maintenance of Autonomy (PRISMA) in Canada. The review finds a somewhat positive pattern of results in terms of service access, utilisation, costs, care provision, quality, health status and client/carer satisfaction. It concludes with the identification of common characteristics which are thought to be associated with the successful impact of these partnership initiatives, as well as a call for further research to understand the relationships, if any, between whole-system models, services and outcomes in integrated care for elderly people.
机译：不管跨国机构在长期护理方面的差异如何，各国都面临着广泛相似的挑战，包括服务分散，护理服务脱节，质量欠佳，系统效率低下以及难以控制的成本。通过无缝提供卫生保健和社会护理来解决这些缺点，集成或整个系统的策略变得越来越重要。北美是面向结构的整个系统模型的特别肥沃的试验场。本文概述了美国的“老年人全包照顾计划”（PACE）计划，“人身年龄综合系统”（SIPA）和“针对老年人的综合服务研究计划”的结构，特征和成果。加拿大的自治权（PRISMA）。审查发现在服务获得，利用率，成本，护理提供，质量，健康状况和客户/护理人员满意度方面，某种程度上积极的结果。最后，确定了与这些伙伴关系计划的成功影响相关的共同特征，并呼吁进行进一步研究以了解整个系统模型，服务和集成结果之间的关系（如果有）。照顾老人。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

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