Abstract:
For better serving people\'s complex needs the subsequent movement to person-centred integrated care, requires inter-organisational cooperation and service provision by domain-overarching networks and alliances. In the development to these networks, it is relevant to explore which accountability approaches are appropriate for local inter-organisational healthcare governance. Therefore, in a scoping review we studied the current state of knowledge and practice of accountability in healthcare in the Netherlands. We found that two of the included 41 studies show characteristics of accountability towards healthcare with characteristics of integration care components, such as integration of services with accompanying accountability arrangements and development of networked accountability. The first studies are found in the literature which report on accountability in integrated care. With this we add to the international discussion about accountability as an aspect of integrated care governance, by providing insight into the current state of art of accountability in Dutch healthcare.
摘要:
为了更好地为人们的复杂需求服务,随后转向以人为中心的综合护理,需要通过领域总体网络和联盟进行组织间合作和服务提供。在这些网络的发展过程中,探索哪种问责制方法适合本地组织间医疗保健治理是相关的。因此,在范围审查中,我们研究了荷兰医疗保健问责制的知识和实践现状.我们发现,纳入的41项研究中有两项显示了对医疗保健的问责特征,具有整合护理组成部分的特征,例如将服务与相应的问责制安排相结合,并发展网络问责制。在报告综合护理问责制的文献中发现了第一批研究。有了这一点,我们增加了关于问责制作为综合护理治理的一个方面的国际讨论,通过深入了解荷兰医疗保健的问责制现状。