将护理从医院转移到家中.pdf

1、Sarah Reed,Senior Fellow,The Nuffield TrustShifting care from hospital to homeInternational lessonsBackground and English contextDecades of reform3(1970 1990)(1990-2010)(2010-2020)and more to come 4Expanding existing capacity of GP clinics,pharmacies,diagnostic centres Re-locating services from hosp

2、itals to communities and the home Boosting prevention and health promotion“The NHS must reform or die”5Whats hindered progress in England?6Short-termism and Political prioritiesUnstable pay and misaligned incentivesComplex and fragmented governanceKey learning from other countries7UK patients have longer hospital stays than countries with similarly low acute bed availability 81.Funding flows must reflect strategic goals 92.Long-term plans must be backed with long-term commitment and aligned policy thinking 103.The failure to reform long-term care will undermine all other efforts 11