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Values and principles of person-centered integrated care: a systematic literature review (SIG meeting)

机译:以人为本的综合护理的价值和原则:系统的文献综述(SIG会议)

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摘要

Introduction : In recent years many knowledge about integrated health services has been developed. So far research has focused on operational themes and interventions on the one side, which help decision makers in practice. On the other hand, a number of studies about generic elements of person-centered and integrated care have been published, resulting in valuable conceptual models and frameworks [1-9]. A third area of research is how to measure integrated care. However, if we want to further develop the person-centered integrated approach to improve the quality of services for civilians, a better understanding of the essence of integrated care and it’s underlying values is necessary. Shared values and principles can help to concretely identify what integrated care really is about and what integrated care thinking stands for [10,11]. Therefore, IFIC and Vilans have initiated a Special Interest Group (SIG) on values and principles of integrated care. The aim of the SIG is to develop a valuable and workable set of values and principles for person-centered integrated care. Within this context, a systematic literature review on value and principles of person-centered integrated care is carried out as a starting point. We propose a session with two objectives: A SIG-meeting with exchange of experiences A presentation and discussion about the first deliverable: the systematic literature review Theory/Methods : A systematic literature review of scientific and grey literature was conducted. Two researchers independently screened the initial results by title and abstract. Differences in interpretation were resolved by consensus. Each full text paper was independently assessed by two researchers on the criteria for inclusion. In each included article, values and principles of person-centered integrated care were identified and coded independently by two researchers. The codes were discussed in the research team. 3) Preliminary results 732 records were identified through the systematic search. After removing duplicates 396 articles remained, of which 48 were assessed for eligibility after the screening of titles and abstracts. 23 articles (48%) contained values and principles of person-centered integrated care and were coded. Currently (Dec 2016) an expert panel, mostly members of IFIC and Vilans’ SIG on Values of Integrated Care, is reflecting on the search results. Additional articles suggested by experts, are being added to the database the coming months (before ICIC2017). The experts have a range of backgrounds, including health and social care, and practice and academia. Conclusion & Discussion : A large amount of literature about integrated care is available, but less about the underlying values and principles. Preliminary results show that in the selected articles values and principles are present, which partly support the set of Ferrer and Goodwin [12]. At this moment the international expert panel is reviewing the search results, more definite results can be discussed in spring nest year. Lessons learned : Only limited literature has a focus on this level of abstraction (values and principles). The perspective appears to be quite new which is interesting a SIG topic. Limitations : Because the limited amount of literature, available conceptual models were analysed to derive values and principles. The quality of this process asks for skilled researchers; to enhance quality, all articles were independently assessed by two researchers. Suggestions for future research : To further develop the set of values and principles, a multi-perspective Delphi Study will be carried out. Multiple (SIG) experts with different backgrounds (clients, caregivers, developers, researchers) will be involved. The results of the Delphi Study will also be shared in the SIG. References : 1- Boshuizen D, Engels J, Versleijen M, Vlek H, Rebel M, Driessen S. White paper: Hoe maak je een succes van persoonsgerichte zorg?Vilans: Utrecht. 2014. 2- Cash-Gibson L, Rosenmoller M. Project INTEGRATE - a common methodological approach to understand integrated health care in Europe. International Journal of Integrated Care. 2014;14(4). DOI: http://doi.org/10.5334/ijic.1980 3- Kodner D, Spreeuwenberg C. Integrated care: meaning, logic, applications, and implications a dis?cussion paper. International Journal of Integrated care. 2002;E12:2. 4- McCormack B, McCance T. Person-centred Nursing: Theory and Practice. Oxford: Wiley Blackwell. 2002. 5- Minkman M. Developing integrated care. Towards a development model for integrated care. PhD report. Deventer: Kluwer, ISBN 9789013100266801300; 2012. 6- Schlette S, Frohlich A, Marti T. The Bellagio Model - Population-oriented Primary Care: A diagnostic grid to assess, improve and enhance primary care. Vortrag BMJ International Forum, Session B5. 2009;Berlin: 18.03.2009.
机译:简介:近年来,已经开发了许多有关综合医疗服务的知识。到目前为止,研究一方面集中在操作主题和干预上,这有助于决策者在实践中。另一方面,关于以人为中心和综合护理的通用要素的许多研究已经发表,产生了有价值的概念模型和框架[1-9]。研究的第三个领域是如何衡量综合护理。但是,如果我们想进一步发展以人为本的综合方法,以提高平民服务质量,就必须更好地理解综合护理的实质及其基本价值。共同的价值观和原则可以帮助具体确定真正的综合医疗是什么以及综合医疗思想代表什么[10,11]。因此,IFIC和Vilans发起了一个有关综合护理的价值观和原则的特别利益小组(SIG)。 SIG的目的是为以人为本的综合护理制定一套有价值的可行的价值观和原则。在此背景下,以人为本的综合护理的价值和原则的系统文献综述作为起点。我们提出了一个具有两个目标的会议:一次经验丰富的SIG会议关于第一个可交付成果的介绍和讨论:系统文献综述理论/方法:对科学文献和灰色文献进行了系统文献综述。两名研究人员通过标题和摘要独立筛选了初步结果。协商一致解决了解释上的差异。每篇全文由两名研究人员根据纳入标准进行独立评估。在每篇包含的文章中,两位研究人员独立确定并编码了以人为本的综合护理的价值观和原则。这些代码已在研究小组中进行了讨论。 3)初步结果通过系统搜索鉴定了732条记录。删除重复项后,剩下396条,其中在筛选标题和摘要后评估了48条是否合格。 23篇文章(占48%)包含以人为本的综合护理的价值观和原则,并被编码。目前(2016年12月),一个专家小组(主要是IFIC和Vilans的SIG的综合护理价值观)成员正在考虑搜索结果。未来几个月(ICIC2017之前),专家建议的其他文章将被添加到数据库中。专家们具有各种背景,包括健康和社会护理以及实践和学术界。结论与讨论:有大量关于综合护理的文献,但是关于基本价值和原则的文献较少。初步结果表明,所选文章中存在价值和原则,部分支持费雷尔和古德温[12]的设置。目前,国际专家小组正在审查搜索结果,可以在春季燕窝年讨论更确定的结果。获得的经验:只有有限的文献关注这一抽象水平(价值和原则)。观点似乎是很新的,这是一个有趣的SIG主题。局限性:由于文献数量有限,因此对可用的概念模型进行了分析,以得出价值和原则。该过程的质量要求熟练的研究人员。为了提高质量,所有文章均由两名研究人员独立评估。未来研究的建议:为了进一步发展价值观和原则,将进行多角度的德尔菲研究。涉及背景不同的多个(SIG)专家(客户,护理人员,开发人员,研究人员)。 Delphi研究的结果也将在SIG中共享。参考文献:1- Boshuizen D,Engels J,Versleijen M,Vlek H,Rebel M,DriessenS。 2014年。2- Cash-Gibson L,Rosenmoller M.整合项目-一种了解欧洲综合医疗保健的通用方法。国际综合护理杂志。 2014; 14(4)。 DOI:http://doi.org/10.5334/ijic.1980 3- Kodner D,SpreeuwenbergC。综合护理:意义,逻辑,应用及其对讨论文件的影响。国际综合护理杂志。 2002; E12:2。 4- McCormack B,McCanceT。以人为本的护理:理论与实践。牛津:威利·布莱克威尔。 2002. 5- Minkman M.发展综合护理。建立综合护理的发展模式。博士报告。 Deventer:Kluwer,ISBN 9789013100266801300; 2012年。6- Schlette S,Frohlich A,MartiT。贝拉吉欧模型-面向人群的初级保健:评估,改善和增强初级保健的诊断网格。 Vortrag BMJ国际论坛B5场。 2009年;柏林:2009年3月18日。

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