The SELFIE framework for integrated care for multi-morbidity: Development and description
The SELFIE framework for integrated care for multi-morbidity: Development and description
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DOI：
10.1016/j.healthpol.2017.06.002
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发表时间：
2018-01-01
期刊：
影响因子：
3.3
通讯作者：
Rutten-van Molken, Maureen
中科院分区：
文献类型：
--
作者：
Leijten, Fenna R. M.;Struckmann, Verena;Rutten-van Molken, Maureen
背景资料：多重发病率的上升对卫生和社会护理组织构成了严重挑战，需要从疾病转向以人为本的综合护理。目前的研究的目的是开发一个概念框架，可以帮助开发，实施，描述和评价综合护理方案multi-morphism.Methods：一个范围审查和专家讨论被用来确定和结构的概念，综合护理多发病率。搜索的科学和灰色literature carried.Discussion：会议内组织的SELFIE研究项目与代表的五个利益相关者群体（5 P）：患者，合作伙伴，专业人士，付款人，和policy makers.Results：在科学文献11,641出版物被确定，92被列入数据提取。在与来自8个欧盟国家的SELFIE合作伙伴和5 P代表讨论后，制定了一个框架草案。该框架的核心是全面理解的人与多发病在他或她的环境。围绕核心，概念被归类为世卫组织卫生系统的调整组成部分：服务提供、领导和治理、劳动力、融资、技术和医疗产品以及信息和研究。在每个组成部分微观，中观和宏观层面的distinguish.Conclusion：框架结构的综合护理多发病的相关概念，可以应用于不同的利益相关者，以指导开发，实施，描述和评价。(C)2017作者出版社：Elsevier爱尔兰Ltd.
Background: The rise of multi-morbidity constitutes a serious challenge in health and social care organisation that requires a shift from disease- towards person-centred integrated care. The aim of the current study was to develop a conceptual framework that can aid the development, implementation, description, and evaluation of integrated care programmes for multi-morbidity.Methods: A scoping review and expert discussions were used to identify and structure concepts for integrated care for multi-morbidity. A search of scientific and grey literature was conducted.Discussion: meetings were organised within the SELFIE research project with representatives of five stakeholder groups (5Ps): patients, partners, professionals, payers, and policy makers.Results: In the scientific literature 11,641 publications were identified, 92 were included for data extraction. A draft framework was constructed that was adapted after discussion with SELFIE partners from 8 EU countries and 5P representatives. The core of the framework is the holistic understanding of the person with multi-morbidity in his or her environment. Around the core, concepts were grouped into adapted WHO components of health systems: service delivery, leadership & governance, workforce, financing, technologies & medical products, and information & research. Within each component micro, meso, and macro levels are distinguished.Conclusion: The framework structures relevant concepts in integrated care for multi-morbidity and can be applied by different stakeholders to guide development, implementation, description, and evaluation. (C) 2017 The Authors. Published by Elsevier Ireland Ltd.