Sea change or quick fix? Policy on long-term conditions in England
Sea change or quick fix? Policy on long-term conditions in England
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DOI：
10.1111/j.1365-2524.2005.00579.x
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发表时间：
2005-07-01
影响因子：
2.4
通讯作者：
Hudson, B
中科院分区：
文献类型：
--
作者：
Hudson, B
在英国，长期条件是一个迅速上升到政治议程上的政策领域，最终在2005年制定了国家卫生服务和社会护理模式，该模式将在接下来的两年内实施。该模式在很大程度上借鉴了美国的病例管理思想，并建议创建3000名社区护士长，以承担这一角色，帮助最脆弱的患者。虽然在原则上受到欢迎，但范本中的具体建议受到了一些批评，本文件对这些问题进行了探讨。存在问题的领域包括患者身份识别、将美国模式移植到英国、病例管理的角色、劳动力和资金问题，以及医疗和社会模式的组合。作者的结论是，在伙伴关系工作的主旨是朝着包容性的全系统模式发展之际，长期护理政策存在发展一种过度注重健康的方法的危险。
Long-term conditions is a policy area that has risen rapidly up the political agenda in England, culminating in the development of the National Health Service and Social Care Model in 2005, which is to be implemented over the following 2 years. The Model draws heavily upon US ideas of case management and proposes the creation of 3000 community matrons to undertake this role with the most vulnerable patients. Although welcomed in principle, the specific proposals in the Model have been subject to some criticism, and these issues are explored in the present paper. The problematic areas include patient identification, the transplanting of US models to England, the role of case management, workforce and funding issues, and the mix of medical and social models. The author concludes that there is a danger of long-term care policy developing an unduly health-focused approach at a time when the thrust of partnership working is towards an inclusive, whole-system model.