对整合卫生服务内涵与关键举措的思考
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摘要
简要阐述了整合卫生服务的内涵,明确了其总体架构。通过现场调研及二手资料收集,分析、总结了浙江德清等典型试点地区的实践探索,提炼出4个关键举措——政府部门统筹合作机制、医疗卫生机构分工协作机制、医保支付激励约束机制、绩效考核目标导向机制。对照整合的最终目标,提出了从中观、微观层面进一步完善整合卫生服务体系的政策建议。
The connotation of integrated health services is briefly described and its overall structure is clarified. Through on-the-spot investigation and second-hand data collection,the paper analyzed and summarized the practical exploration of typical pilot areas such as Zhejiang Deqing,and extracts four key measures:government department coordination cooperation mechanism,medical and health institution division of labor cooperation mechanism,medical insurance payment incentive mechanism,performance assessment target-oriented mechanism. Based on the final goal of integration,the policy recommendations for further improving the integrated health service system from the meso and micro levels were proposed.
The connotation of integrated health services is briefly described and its overall structure is clarified. Through on-the-spot investigation and second-hand data collection,the paper analyzed and summarized the practical exploration of typical pilot areas such as Zhejiang Deqing,and extracts four key measures:government department coordination cooperation mechanism,medical and health institution division of labor cooperation mechanism,medical insurance payment incentive mechanism,performance assessment target-oriented mechanism. Based on the final goal of integration,the policy recommendations for further improving the integrated health service system from the meso and micro levels were proposed.
引文
[1] World Health Organization. Framework on integrated, peoplecentred health services[R].Geneva:World Health Organization,2016.
[2] Mur Veemani, Hardy B, Steenbergen M, et al. Development of integrated care in England and the Netherlands:managing across public-private boundaries[J]. Health Policy, 2003, 65(3):227-241.
[3] Peter R.Kongstvedt. Essentials of Managed Health Care(Fifth Edition)[M]. Reston, VA:Jones and Bartlett Publishers, 2007.
[4]匡莉,甘远洪,吴颖芳.“纵向整合”的医疗服务提供体系及其整合机制研究[J].中国卫生事业管理, 2012, 29(8):564-566.
[5]张平.县域医共体建设的浙江承载[J].卫生经济研究,2018(12):3-6.
[2] Mur Veemani, Hardy B, Steenbergen M, et al. Development of integrated care in England and the Netherlands:managing across public-private boundaries[J]. Health Policy, 2003, 65(3):227-241.
[3] Peter R.Kongstvedt. Essentials of Managed Health Care(Fifth Edition)[M]. Reston, VA:Jones and Bartlett Publishers, 2007.
[4]匡莉,甘远洪,吴颖芳.“纵向整合”的医疗服务提供体系及其整合机制研究[J].中国卫生事业管理, 2012, 29(8):564-566.
[5]张平.县域医共体建设的浙江承载[J].卫生经济研究,2018(12):3-6.