INTRODUCTION:Integrated care is viewed widely as a potential solution to some of the major challenges faced by health and social care systems, such as those posed by service duplication, fragmentation and poor care coordination, and associated impacts on the quality and cost of services. Fragmented models of allocating funds to and across sectors, programmes and providers are frequently cited as a major barrier to integration and countries have experimented with different models of allocating funds to enhance care coordination among service providers and to reduce ineffective care and avoid costly adverse events. This scoping review aims to assess published international experiences of different models of allocating funds to facilitate integration and the evidence on their impacts. METHODS AND ANALYSIS:We will adopt a scoping review methodology due to the potentially vast and multidisciplinary nature of the literature on different models of allocating funds in health and social care systems, as well as the scarcity of existing knowledge syntheses. The framework developed by Arksey and O'Malley will be followed that entails six steps: (1) identifying the research question(s), (2) searching for relevant studies, (3) selecting studies, (4) charting the data, (5) collating, summarising and reporting the results and (6) and conducting consultation exercises. These steps will be conducted iteratively and reflexively, making adjustments and repetitions when appropriate to make sure the literature has been covered as comprehensively as possible. To ensure comprehensiveness of our literature review, we also search a wide range of sources. ETHICS AND DISSEMINATION:An integrated knowledge translation strategy will be pursued by engaging our knowledge users through all stages of the review. We will organise two workshops or policy roundtables/policy dialogues in Alberta and British Columbia with participation of diverse knowledge users to discuss and interpret the findings of our review and to draw out policy opportunities and lessons that can be applied to the context of these two provinces.

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简介:综合护理被广泛视为应对卫生和社会护理系统所面临的一些主要挑战的潜在解决方案,例如服务重复,支离破碎和护理协调不佳所带来的挑战,以及对服务质量和成本的相关影响。经常将零散的向,跨部门,计划和提供者分配资金的模型作为整合的主要障碍,并且各国已经尝试了不同的分配资金模型,以增强服务提供者之间的护理协调并减少无效的护理并避免代价高昂的不良事件。这项范围界定审查旨在评估已发布的国际经验,介绍了各种不同的资金分配模式以促进整合,并提供了有关其影响的证据。
方法与分析:由于有关卫生和社会护理系统中不同资金分配模型的文献具有潜在的广泛性和多学科性,并且由于现有知识的匮乏,我们将采用范围界定的审查方法。将遵循由Arksey和O'Malley开发的框架,该框架包含六个步骤:(1)确定研究问题;(2)搜索相关研究;(3)选择研究;(4)绘制数据图表;( 5)整理,总结和报告结果;(6)进行咨询练习。这些步骤将迭代和反身地进行,并在适当时进行调整和重复,以确保尽可能全面地涵盖文献。为了确保我们文献综述的全面性,我们还搜索了广泛的资料来源。
道德与传播:通过在审核的所有阶段吸引我们的知识用户,将奉行综合的知识翻译策略。我们将在阿尔伯塔省和不列颠哥伦比亚省组织两次研讨会或政策圆桌会议/政策对话,并由不同知识的用户参加,以讨论和解释我们的审查结果,并提出可应用于这两个省的背景的政策机会和经验教训。

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