PDF(Pubmed)
Abstract：
UNASSIGNED: Epilepsy is the most common neurological condition globally. Integrating health and social care is fundamental in epilepsy management, but the scope of progress in this area is unclear. This scoping review aimed to capture the range and type of integrated care components and models in epilepsy management.
UNASSIGNED: Four databases were searched for articles published since 2010 that reported on integrated care in epilepsy. Data were extracted and synthesised into components of integrated care that had been implemented or recommended only. Models of integrated care were identified, and their components tabulated.
UNASSIGNED: Fifteen common and interrelated components of integrated care emerged that were aligned with four broad areas: healthcare staff and pathways (e.g., epilepsy nurses); tasks and services (e.g., care coordination); education and engagement (e.g., shared decision making); and technology for diagnosis and communication (e.g., telehealth). Twelve models of integrated care were identified; seven were implemented and five were recommended.
UNASSIGNED: There is a growing evidence-base supporting integrated, person-centred epilepsy care, but implementation is challenged by entrenched silos, underdeveloped pathways for care, and deficits in epilepsy education.
UNASSIGNED: Integrating epilepsy care relies on changes to workforce development and policy frameworks to support whole-of-system vision for improving care.
UNASSIGNED: Four databases were searched for articles published since 2010 that reported on integrated care in epilepsy. Data were extracted and synthesised into components of integrated care that had been implemented or recommended only. Models of integrated care were identified, and their components tabulated.
UNASSIGNED: Fifteen common and interrelated components of integrated care emerged that were aligned with four broad areas: healthcare staff and pathways (e.g., epilepsy nurses); tasks and services (e.g., care coordination); education and engagement (e.g., shared decision making); and technology for diagnosis and communication (e.g., telehealth). Twelve models of integrated care were identified; seven were implemented and five were recommended.
UNASSIGNED: There is a growing evidence-base supporting integrated, person-centred epilepsy care, but implementation is challenged by entrenched silos, underdeveloped pathways for care, and deficits in epilepsy education.
UNASSIGNED: Integrating epilepsy care relies on changes to workforce development and policy frameworks to support whole-of-system vision for improving care.
摘要：
■癫痫是全球最常见的神经系统疾病。整合健康和社会护理是癫痫管理的基础，但这方面的进展范围尚不清楚。本范围审查旨在捕获癫痫管理中综合护理组件和模型的范围和类型。
■在四个数据库中搜索了自2010年以来发表的关于癫痫综合治疗的文章。提取数据并将其合成为仅已实施或推荐的综合护理的组成部分。综合护理模式被确定，和他们的组件列表。
■出现了综合护理的15个常见和相互关联的组成部分，这些组成部分与四个广泛的领域保持一致：医疗保健人员和途径（例如，癫痫护士)；任务和服务(例如，护理协调)；教育和参与(例如，共享决策)；以及诊断和沟通技术(例如，远程医疗）。确定了12种综合护理模式；实施了7种，推荐了5种。
■有越来越多的证据支持集成，以人为本的癫痫护理，但是实施受到根深蒂固的孤岛的挑战，护理途径不发达，和癫痫教育的缺陷。
■整合癫痫护理依赖于劳动力发展和政策框架的变化，以支持整个系统改善护理的愿景。
■在四个数据库中搜索了自2010年以来发表的关于癫痫综合治疗的文章。提取数据并将其合成为仅已实施或推荐的综合护理的组成部分。综合护理模式被确定，和他们的组件列表。
■出现了综合护理的15个常见和相互关联的组成部分，这些组成部分与四个广泛的领域保持一致：医疗保健人员和途径（例如，癫痫护士)；任务和服务(例如，护理协调)；教育和参与(例如，共享决策)；以及诊断和沟通技术(例如，远程医疗）。确定了12种综合护理模式；实施了7种，推荐了5种。
■有越来越多的证据支持集成，以人为本的癫痫护理，但是实施受到根深蒂固的孤岛的挑战，护理途径不发达，和癫痫教育的缺陷。
■整合癫痫护理依赖于劳动力发展和政策框架的变化，以支持整个系统改善护理的愿景。
