PDF(Pubmed)
Abstract：
UNASSIGNED: In 2022, England embarked on an ambitious and innovative re-organisation to produce an integrated health and care system with a greater focus on improving population health. This study aimed to understand how nascent ICSs are developing and to identify the key challenges and enablers to integration.
UNASSIGNED: Four ICSs participated in the study between November 2021 and May 2022. Semi-structured interviews with system leaders (n = 67) from health, social and voluntary care as well as representatives of local communities were held. A thematic framework approach supported by Leutz\'s five laws of integration framework was used to analyse the data.
UNASSIGNED: The benefits of ICSs include enhancing the delivery of good quality care, improving population health and providing more person-centred care in the community. However, differences between health and social care such as accountability, organisational/professional cultures, risks of duplicating efforts, tensions over funding allocation, issues of data integration and struggles in engaging local communities threaten to hamper integration.
UNASSIGNED: Despite ICS\'s investing in the structural and relational components of integrated care, the unprecedented pressures on systems to reduce demand on primary and emergency care tackling elective backlogs may detract from a key goal of ICSs, improving population health and prevention.
UNASSIGNED: Four ICSs participated in the study between November 2021 and May 2022. Semi-structured interviews with system leaders (n = 67) from health, social and voluntary care as well as representatives of local communities were held. A thematic framework approach supported by Leutz\'s five laws of integration framework was used to analyse the data.
UNASSIGNED: The benefits of ICSs include enhancing the delivery of good quality care, improving population health and providing more person-centred care in the community. However, differences between health and social care such as accountability, organisational/professional cultures, risks of duplicating efforts, tensions over funding allocation, issues of data integration and struggles in engaging local communities threaten to hamper integration.
UNASSIGNED: Despite ICS\'s investing in the structural and relational components of integrated care, the unprecedented pressures on systems to reduce demand on primary and emergency care tackling elective backlogs may detract from a key goal of ICSs, improving population health and prevention.
摘要：
■2022年，英格兰开始了雄心勃勃的创新重组，以建立一个综合的医疗保健系统，更加注重改善人口健康。这项研究旨在了解新生的ICSs是如何发展的，并确定整合的关键挑战和推动因素。
■四个ICS在2021年11月至2022年5月期间参与了这项研究。与来自健康的系统领导者(n=67)的半结构化访谈，举行了社会和自愿护理以及当地社区的代表。在Leutz的五个整合定律框架的支持下，使用了主题框架方法来分析数据。
■ICSs的好处包括加强提供优质护理，改善人口健康，并在社区提供更多以人为本的护理。然而,健康和社会护理之间的差异，如问责制，组织/专业文化，重复努力的风险，资金分配紧张，数据集成问题和参与当地社区的斗争有可能阻碍集成。
■尽管ICS在综合护理的结构和关系部分进行了投资，系统面临前所未有的压力，以减少对初级和紧急护理的需求，以解决选择性积压的问题，可能会减损ICSs的关键目标，改善人口健康和预防。
■四个ICS在2021年11月至2022年5月期间参与了这项研究。与来自健康的系统领导者(n=67)的半结构化访谈，举行了社会和自愿护理以及当地社区的代表。在Leutz的五个整合定律框架的支持下，使用了主题框架方法来分析数据。
■ICSs的好处包括加强提供优质护理，改善人口健康，并在社区提供更多以人为本的护理。然而,健康和社会护理之间的差异，如问责制，组织/专业文化，重复努力的风险，资金分配紧张，数据集成问题和参与当地社区的斗争有可能阻碍集成。
■尽管ICS在综合护理的结构和关系部分进行了投资，系统面临前所未有的压力，以减少对初级和紧急护理的需求，以解决选择性积压的问题，可能会减损ICSs的关键目标，改善人口健康和预防。
