整合型医疗健康服务体系理论框架的核心要素与演变特点 ——基于系统综述

目的:归纳总结国内外整合型医疗健康服务体系理论框架的基本特征、主要维度及核心要素,分析演变特点及启示.方法:采用系统综述法检索并筛选文献,依据前期研究提出的制度整合、组织整合、专业整合、服务整合、核心功能整合、价值规范整合6个维度,利用主题框架法提取和分析文献资料.结果:纳入分析的66个理论框架中,12个聚焦单一维度、...

Core elements and development characteristics of the theoretical framework of integrated healthcare system:A systematic review

Objective:To summarize the basic features,main dimensions and core elements of domestic and foreign theoretical frameworks of integrated healthcare system,and to analyze their development characteristics and inspirations.Methods:Systematic review method was used to retrieve and screen the literature.Thematic framework method was adopted to extract,integrate and analyze the literature’s materials based on the 6 dimensions proposed in our previous research including system integration,organizational integration,professional integration,care integration,core functional integration,value and normative integration.Results:Among the 66 theoretical frameworks included in the analysis,12 were focused on a single dimension,45 involved 2~5 dimensions,and 9 covered all 6 dimensions.The dimension of system integration,organizational integration,professional integration,care integration,core functional integration,value and normative integration respectively contained 7,6,5,7,4 and 2 core elements.Discussions and suggestions:The development of the theoretical frameworks manifested a gradual trend of increasing emphasis on the concept of“people-centered”and dimension diversification as well as comprehensiveness of coverage levels,and were also featured by the transformation of the essential definition of service towards comprehensive health services,and the transformation of the understanding of healthcare system towards dynamically adaptive.Our nation should effectively learn from these results,so as to construct and improve the theoretical framework of our integrated healthcare system in accordance with the current national conditions and development stage of China.