医院组织之价值创造：以整合性照护之观点论之.PPT

林妍如、萬德和，2003，健康照護組織之價值創造：整合性照護之基本理念與設計入門 整合性照護：健康照護組織之價值創造 林妍如 中國醫藥大學 醫務管理研究所 April 19, 2004 整合性照護 A coherent and coordinated set of services, which are planned, managed and delivered to individual service users across a range of organizations and by a range of co-operating professionals and informal carers. Covers the full spectrum of health and health care-related social care, while it is also inextricably linked to other services that enable people to be properly cared for in their own homes and in their own communities. 在醫療業，關於整合 (Integration) 「國家」層次的整合 (national level) 「區域」層次的整合 (district level) 「機構」層次的整合 (institutional level) 「機構內/部門」層次的整合 (departmental level) 「醫療照護服務」的整合 (service level) 醫療業的整合類型 醫療業者對整合性照護之詮釋 連續性(整合性)照護之思維模型 傳統模式 階梯模式 同心圓模式 矩陣模式 連續性(整合性)照護之思維模型 當代模式 電腦友善者使用模式 根源模式 滲透與開發 滲透與開發 醫療業者之整合模式 Integrated Organizations Basic Types : Vertical Integration: integrate different stages of production Horizontal Integration: lump together several locations of the same production stages (Katz, Mitchell, Markezin, 1982, p4) 整合性健康照護系統 (IDS) an organization that, through ownership or formal agreements, vertically and horizontally aligns healthcare facilities, programs, or services in order to offer a coordinated continuum of health care to a defined geographic population and is willing to be held responsible clinically (i.e., improving quality) and fiscally (i.e., reducing costs) for the health status of that population health plans medical groups practices pharmacies hospitals subacute care services long-term care services occupational services rehabilitation services surgical centers various wellness and patient education programs. 整合性健康照護系統 (IDS) 之同義詞 integrated delivery system (network) integrated health system (network) integrated care system (network) organized delivery system community care network integrated health care organization integrated service networks population-based integrated delivery system etc. 興起整合策略熱潮之因？ 興起整合