通讯作者: 郑英, zheng.ying@imicams.ac.cn

DOI：10.12201/bmr.202111.00021

Core elements and developmental characteristics of the conceptual framework of integrated health care system：A systematic review

• 摘要：目的：归纳总结国内外整合型医疗卫生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、整合和分析文献资料。结果：纳入分析的66个理论框架中,12个聚焦单一维度、45个涉及2-5个维度、9个涵盖全部 6个维度；制度整合、组织整合、专业整合、服务整合、核心功能整合、价值规范整合分别包含7个、6个、5个、7个、4个以及2个核心要素。讨论与建议：理论框架演变趋势呈现对“以人为中心”理念的重视程度日益加深,维度逐渐多元、覆盖层次逐渐全面,对服务内涵的界定向综合性健康服务转变,对体系的认识向动态适应转变等特点；我国应充分借鉴参考,构建和完善符合国情和发展阶段的整合型医疗卫生服务体系理论框架。

  关键词： 以人为中心; 整合型医疗卫生服务体系; 理论框架; 系统综述

   

  Abstract: Objective: To summarize the basic features, main dimensions and core elements, and to analyze the developmental characteristics and implications of domestic and global conceptual framework of integrated health care system. Methods: Systematic review method was used to retrieve and screen the literatures, thematic synthesis method was adopted to extract, integrate and analyze the literatures’ information based on the 6 dimensions consisting of system integration, organizational integration, professional integration, care integration, core functional integration, value and normative integration proposed in our previous research. Results: Among the 66 conceptual frameworks included in the analysis, 12 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 consisted of 7, 6, 5, 7, 4 and 2 core elements. Discussions and conclusions: The developmental trend of the conceptual frameworks is characterized by the increasing emphasis on the concept of people-centered, the gradual diversification of dimensions and comprehensiveness of coverage levels, the transformation of the connotation of care to comprehensive health care, and the transformation of the understanding of health care system to dynamic and adaptive. We should make full use of current research results and findings to construct and perfect the conceptual framework of integrated health care system in accordance with national conditions and development stages in China.

  Key words: People-centered；Integrated health care system；Conceptual framework；Systematic review; ; ; 

  提交时间：2022-02-17

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2021-11-26	bmr.202111.00021V1	下载

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