Five laws for integrating medical and social services: Lessons from the United States and the United Kingdom
Five laws for integrating medical and social services: Lessons from the United States and the United Kingdom
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DOI：
10.1111/1468-0009.00125
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发表时间：
1999-01-01
影响因子：
6.6
通讯作者：
Leutz, WN
中科院分区：
文献类型：
--
作者：
Leutz, WN
由于残疾人广泛使用卫生和社会服务，美国和英国都已开始跨系统整合护理。这两个国家的倡议是在个人需要和系统使用因年龄、残疾类型和严重程度而异的现实背景下进行审查的。从这种审查中得出的教训以融合的五种“规律”的形式提出。这些法律确定了整合的三种杠杆，指出了医生的替代角色，概述了资源需求，强调了不同医疗和社会范例之间的摩擦，并敦促政策制定者和管理者仔细考虑谁将是最合适的人选来设计、监督和管理整合举措。使用者和护理人员都必须参与规划，以确保所有三个层次的整合都得到重视，并澄清医疗系统和其他系统之间的边界。
Because persons with disabilities (PWDs) use health and social services extensively, both the United states and the United Kingdom have begun to integrate care across systems. Initiatives in these two countries are examined within the context of the reality that personal needs and use of systems differ by age and by type and severity of disability The lessons derived from this scrutiny are presented in the form of five "laws" of integration. These laws identify three levers of integration, point to alternative roles for physicians, outline resource requirements, highlight friction from differing medical and social paradigms, and urge policy makers and administrators to consider carefully who would be most appropriately selected to design, oversee, and administer integration initiatives. Both users and caregivers must be involved in planning to ensure that all three levels of integration are attended to and that the borders between medical and other systems are clarified.