| 引用本文：李芬, 普拉莫德·普拉巴卡兰, 张晓溪, 丁玲玲, 王常颖, 方欣叶, 金春林.老龄化社会下英国健康服务体系的改革及经验[J].中国卫生政策研究,2019,12(3):57-62 |
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| 老龄化社会下英国健康服务体系的改革及经验 |
| 投稿时间：2018-01-01 修订日期：2018-12-30 PDF全文浏览 HTML全文浏览 |
| 李芬1, 普拉莫德·普拉巴卡兰2, 张晓溪1, 丁玲玲3, 王常颖1, 方欣叶1, 金春林1 |
1. 上海市卫生和健康发展研究中心(上海市医学科学技术情报研究所) 上海 200040;
2. 伦敦中区西北区国民健康服务体系信托基金会 英国伦敦;
3. 中南大学 湖南长沙 410008 |
| 摘要:英国是最早进入老龄化的发达国家之一，应对老龄化有较为丰富的经验。本文主要从英国的健康服务体系、健康筹资及支付模式、老年健康服务模式及整合服务模式探索案例对英国应对老龄化的健康服务体系进行介绍。从英国经验启示来看，我国应建立统一的资源配置规则，加强全科医生、初级保健和公共卫生建设，建立以数据、分析工具为支持的决策体系，以应对老龄化带来的健康服务体系的挑战。 |
| 关键词:老龄化 国民健康服务体系 整合医疗服务 |
| 基金项目:上海市第四轮公共卫生三年行动计划重点学科建设项目循证公共卫生与卫生经济学（15GWZK0901）；Sino-UK Collaborative Study on the Impact of Population Aging on Medical Expenses in Shanghai and Opening Up Opportunities for the UK（16SS23） |
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| Health service system reform in aging society and experience of the United Kingdom |
| LI Fen1, PRAMOD Prabhakaran2, ZHANG Xiao-xi1, DING Ling-ling3, WANG Chang-ying1, FANG Xin-ye1, JIN Chun-lin1 |
1. Shanghai Health Development Research Center(Shanghai Medical Information Center), Shanghai 200040, China;
2. Central and Northwest London(CNWL) NHS Foundation Trust, London UK;
3. Centre South University, Changsha Hunan 410008, China |
| Abstract:The UK is one of the first developed countries that entered the aging society and has a rich experience in dealing with aging population. This paper analyzes the reform of health service system, innovations of financing and payment, the health service mode for elderly, and the pilots of integrated health care explorations. The experience of the UK and its implications for China are summarized. It further suggests to establish a unified resource allocation regulation, to strengthen general practitioner, primary health care and public health, and to establish a decision-making system supported by data and analysis tools in order to cope with the challenges brought by an aging population in medical service system. |
| Key words:Aging society National Health Service system Integrated health services |
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