| 引用本文：殷东, 王真, 翟春城, 张家睿, 时宇, 谢奉哲, 王景慧, 张淑娥, 孙涛.加拿大健康服务整合:实践与启示[J].中国卫生政策研究,2018,11(6):40-46 |
|
| 加拿大健康服务整合:实践与启示 |
| 投稿时间：2017-10-27 修订日期：2018-01-21 PDF全文浏览 HTML全文浏览 |
| 殷东1, 王真1, 翟春城1, 张家睿1, 时宇1, 谢奉哲1, 王景慧1, 张淑娥2, 孙涛1 |
1. 哈尔滨医科大学卫生管理学院 黑龙江哈尔滨 150086;
2. 哈尔滨医科大学附属肿瘤医院 黑龙江哈尔滨 150040 |
| 摘要:系统梳理了近年来有关加拿大卫生服务整合的文献和政策文件，归纳了安大略省、阿尔伯塔省和魁北克省的卫生服务整合实践及方式，包括卫生组织机构间整合、卫生服务团队整合以及一系列卫生服务整合，并总结组织机构间整合的促成因素和阻碍因素以及具体的整合策略。结合中国实际，提出我国在推进卫生服务整合过程中应坚持以政府为主导，充分发挥市场机制的积极作用，通过基层卫生服务的网络式管理与组团式服务，将重点人群和特定疾病的卫生服务整合视为战略重点，发挥护士在卫生服务整合中的助推作用，建设有利于整合的卫生信息系统，不断推进分级诊疗并弥合割裂的卫生服务体系，为居民提供个性化、方便、综合、连续的整合型卫生服务。 |
| 关键词:卫生服务整合 家庭医生团队 网络式管理 |
| 基金项目:国家自然科学基金项目（71403071，71774045）；黑龙江省自然科学基金项目（G201411） |
|
| Integrated health service in Canada: Practice and implications |
| YIN Dong1, WANG Zhen1, ZHAI Chun-cheng1, ZHANG Jia-rui1, SHI Yu1, XIE Feng-zhe1, WANG Jing-hui1, ZHANG Shu-e2, SUN Tao1 |
1. School of Health Management, Harbin Medical University, Harbin Heilongjiang 150086, China;
2. Harbin Medical University Cancer Hospital, Harbin Heilongjiang 150040, China |
| Abstract:This paper systematically reviews the latest and relevant literatures and policy documents on the integrated health services in Canada in recent years. Therefore, it summarizes the practice and mode of integrated service delivery in Ontario, Alberta and Quebec wherein the integration among health organization, health service team, and a series of health services are included. The contributing factors and impeding factors (the barriers) of organizational integration and specific integration strategy were summarized. Finally, according to the actual practical situation, it is proposed that China should adhere to the government-led approach in promoting the integration of health services, and give a full play to the positive role of the market mechanism. Through strengthening the network management and group service of primary health services, emphasis will be put on health services of population groups and specific diseases. Therefore, integration will be regarded as a strategic priority, increasing incentives and boosting promotion of nursing personnel on the process of Integrated Service Delivery, building the health information system that is conducive to integration in order to continuously advance Hierarchical Diagnosis and bridge the fragmented service system. This will help in providing residents with personalized, convenient, comprehensive, and continuous health services. |
| Key words:Integrated health service Family physician team Network management |
| 摘要点击次数: 1864 全文下载次数: 1025 |
|
|
|
|
|
