| 引用本文：苗豫东, 张亮, 朱靖, 钱东福, 张林, 胡丹.医疗高需求患者卫生保健策略研究[J].中国卫生政策研究,2016,9(12):34-38 |
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| 医疗高需求患者卫生保健策略研究 |
| 投稿时间：2016-07-25 修订日期：2016-12-05 PDF全文浏览 HTML全文浏览 |
| 苗豫东1,2, 张亮2, 朱靖3, 钱东福1, 张林4, 胡丹1 |
1. 南京医科大学医政学院 江苏南京 211166;
2. 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030;
3. 东南大学公共卫生学院 江苏南京 210009;
4. 盐城卫生职业技术学院基层卫生发展研究中心 江苏盐城 224005 |
| 摘要:在中国医改进程中，社会公众“看病贵”的呼声从未间断。但大数据分析表明：只占较少比例（5%）的医疗需求较高的患者，医疗费用占居民医疗总支出的较大比例（约50%）。“看病贵”问题显然并非普遍存在。本文在引入医疗高需求患者概念的基础上，归纳分析医疗高需求患者特征，借鉴国际上医疗高需求患者卫生保健组织及项目的做法经验，分析未来中国医疗高需求患者的保健策略，以期为医改和卫生政策制定提供指导。 |
| 关键词:医疗高需求患者 卫生保健策略 卫生改革 |
| 基金项目:国家自然科学基金（71603132）；江苏高校哲学社会科学研究基金（2014SJB159）；江苏高校哲学社会科学研究基金（2015SJB160） |
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| Healthcare strategy for high-need patients |
| MIAO Yu-dong1,2, ZHANG Liang2, ZHU Jing3, QIAN Dong-fu1, ZHANG Lin4, HU Dan1 |
1. School of Health Policy and Management, Nanjing Medical University, Nanjing Jiangsu 211166, China;
2. School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan Hubei 430030, China;
3. School of Public Health of Southeast University, Nanjing Jiangsu 210009, China;
4. Primary Health Development Research Center, Yancheng Vocational Institute of Health Sciences, Yancheng Jiangsu 224005, China |
| Abstract:During the process of China's healthcare reform, the concept of "costly access to health care" has been discussed for quite a long time. However, big data indicates that a small number of patients (5%) account for disproportionate costs (approximately 50%). "Costly access to health care" may not be a ubiquitous perceived problem for all residents. In this paper, the concept "high-need patient" will be introduced and the characteristics of the population will be analyzed. According to the healthcare reform experience from the international perspective, this paper proposed healthcare strategy for Chinese high-need patients and policy recommendations for China's healthcare reform. |
| Key words:High-need patients Healthcare strategy Healthcare reform |
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