| 引用本文：贺小林, 江萍, 朱敏杰, 徐蕾, 芦炜.政府协同与医保助推:“四医联动”保障下的家庭医生服务[J].中国卫生政策研究,2017,10(10):10-15 |
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| 政府协同与医保助推:“四医联动”保障下的家庭医生服务 |
| 投稿时间：2017-07-06 修订日期：2017-09-22 PDF全文浏览 HTML全文浏览 |
| 贺小林1, 江萍2, 朱敏杰2, 徐蕾2, 芦炜3 |
1. 中共上海市委党校(上海行政学院)城市社会研究所 上海 200233;
2. 上海市长宁区卫生与计划生育委员会 上海 200050;
3. 海南师范大学经济与管理学院 海南海口 571127 |
| 摘要:政府协同式治理是当前我国医改推进的必要支撑和重要方向。上海市长宁区家庭医生制度模式发展过程中，通过卫生、医保、民政、财政等部门面向困难人群的"基本医疗保险+基本医疗服务+政府医疗救助+社会组织医疗帮扶"的"四医联动"基本医疗保障协同治理模式实现了激励相容的可持续发展。十年的改革探索和政策实践表明，卫计委、民政部门精准确定服务人群，医保、财政支付家庭医生签约服务费的政策协同，社区家庭医生工作室的医疗资源整合支撑，社区健康共建共享是我国家庭医生服务模式不断完善的发展方向。 |
| 关键词:家庭医生制度 四医联动 政府协同 医疗保险 |
| 基金项目:国家自然科学基金项目（71403171）；2017年上海市政府决策咨询重点项目（2017-A-053-A）、海南省社科青年项目（HNSK（ZC）17-11）阶段性成果。 |
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| The government collaboration and medical insurance to boost:“The Four medical linkage” under the protection of family doctor service |
| HE Xiao-lin1, JIANG Ping2, ZHU Min-jie2, Xu Lei2, Lu Wei3 |
1. Institute of Urban Social Studies, Shanghai Party Institute of CCP & Shanghai Administration Institute, Shanghai 200233, China;
2. Changning District Health and Family Planning Commission, Shanghai 200050, China;
3. School of Economics and Management, Haikou Hainan Normal University, Haikou Hainan 571127, China |
| Abstract:The government coordinated governance is the necessary support and important direction of China's medical reform. During the development process of the family doctor system in Changning District of Shanghai, the coordinated governance of health, medical insurance, civil affairs, finance and other departments for the difficulties of the crowd, through "the four medical linkage" basic medical security health collaborative governance by the "basic medical insurance+basic medical services+government medical assistance+social organization medical help" for the poor people, made the system realize the sustainable development of incentive compatibility. The ten years of reform and policy practice shows that to precisely determine the service population by the Health and Family planning Commission and Civil Affairs Bureau, the policy coordination to pay the family doctors contract service fee by health insurance and Finance Bureau, the medical resources integration support by community family doctor studio, Community health construction and sharing constitute the developing direction of family doctor service model in China. |
| Key words:Family doctor system Four medical linkage Government collaboration Medical insurance |
| 摘要点击次数: 1974 全文下载次数: 17 |
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