| 引用本文：罗乐宣, 李创, 陈瑶, 曾华堂.PCIC框架下深圳市建立整合型医疗卫生服务体系的研究与实践[J].中国卫生政策研究,2019,12(12):7-13 |
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| PCIC框架下深圳市建立整合型医疗卫生服务体系的研究与实践 |
| 投稿时间：2019-10-20 修订日期：2019-12-05 PDF全文浏览 HTML全文浏览 |
| 罗乐宣1, 李创1, 陈瑶2, 曾华堂3 |
1. 深圳市卫生健康委员会 广东深圳 518031;
2. 深圳市疾病预防控制中心 广东深圳 518055;
3. 深圳市急救中心 广东深圳 518035 |
| 摘要:深圳市践行"以人为本的一体化服务"模式，探索建立"区域医疗中心+基层医疗集团"为主体的整合型医疗卫生服务体系，推动全市按照网格管理组建20家基层医疗集团，通过做强社区健康服务机构、做实家庭医生服务和优化基本公共卫生服务，建立医保、价格、财政和人事薪酬等综合激励机制，成为支撑居民健康守门人制度的强大后盾；并与23家区域医疗中心联网组团运营，形成医教研协作共同体。2018年，深圳市区属医疗机构和社会办基层医疗机构诊疗量占比为74.42%，主要健康指标达到国际发达国家水平，居民个人卫生支出占卫生总费用的比例为14.42%，医疗费用处于全国较低水平。在构建整合型医疗卫生服务体系过程中，关键要以综合改革推动医疗卫生资源下沉，以"院办院管"体制强化医联体建设，以激励机制促进医疗卫生服务高质量发展，以基层服务体系托起全民健康的基石，以加强全科医生队伍建设作为改革重点。 |
| 关键词:整合 医疗卫生服务体系 PCIC |
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| The research and practice of integrated healthcare service system in Shenzhen under the PCIC framework |
| LUO Le-xuan1, LI Chuang1, CHEN Yao2, ZENG Hua-tang3 |
1. Shenzhen Municipal Health Commission, Shenzhen Guangdong 518031, China;
2. Shenzhen Center for Disease Control and Prevention, Shenzhen Guangdong 518055, China;
3. Shenzhen Center for Prehospital Care, Shenzhen Guangdong 518035, China |
| Abstract:Under the PCIC framework, the main body of integrated medical service system in Shenzhen is "Regional Medical Center + Primary Medical Group", which consists of 20 primary medical groups and 23 regional health centers. The primary medical groups have become the healthy gatekeeper of residents through strong community health service institutions, family doctor contract services of high quality, excellent basic public health services, and comprehensive incentive mechanisms such as medical insurance policy, price policy, financial compensation mechanism, and remuneration system. In 2018, the proportion of diagnosis and treatment within primary medical groups and private primary health institutions was 74.42%, and the main health indicators have reached the level of foreign developed countries. The proportion of personal health expenditure to total health expenditure was 14.42%, showing that healthcare expenses were at a lower level in Shenzhen. It is suggested that, in the construction process of integrated medical service system, much of emphasis should be put on promoting the subsistence of health resources with comprehensive healthcare system reform, strengthening the construction of medical associations with "integrative management and hospital operation system", enhancing the development of health services with incentive mechanism, and taking the construction of general practitioners as the focus of the healthcare system reform. |
| Key words:Integration Healthcare service system PCIC |
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