| 引用本文：赵君, 丁雪, 陈永超, 王芳.我国部分地区妇幼健康分级服务政策实践分析[J].中国卫生政策研究,2021,14(2):72-77 |
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| 我国部分地区妇幼健康分级服务政策实践分析 |
| 投稿时间：2020-12-21 修订日期：2021-02-10 PDF全文浏览 HTML全文浏览 |
| 赵君, 丁雪, 陈永超, 王芳 |
| 中国医学科学院医学信息研究所 北京 100020 |
| 摘要:目的：了解我国部分地区妇幼健康分级服务政策的实践进展与存在问题。方法：采用主题框架法，从领导治理、服务提供、筹资支付、人力资源、药品供应、信息共享六个方面梳理分析江苏省常州市、上海市、四川省成都市、河北省石家庄市的妇幼健康分级服务政策和改革措施。结果：调研地区选择不同的妇幼健康服务内容开展分级服务，以行政规制的方式明确了各级各类妇幼健康服务机构的职责分工，建立多种形式的协作关系促进机构间上下联动，调整筹资与医保支付方式引导群众就医，重视提升基层服务能力和区域妇幼健康信息共享。结论：各地应因地制宜理顺医疗机构服务内容和职责分工，多措并举提升基层医疗卫生机构服务能力，完善医疗机构分工协作的长效机制，统筹规划建立互联互通的妇幼卫生信息共享平台。 |
| 关键词:妇幼健康服务 分级诊疗 政策分析 |
| 基金项目:中国医学科学院医学与健康科技创新工程经费资助项目（2016-I2M-3-018） |
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| Analysis on policy practices of hierarchical maternal and child health system in some areas of China |
| ZHAO Jun, DING Xue, CHEN Yong-chao, WANG Fang |
| Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China |
| Abstract:Objective: To understand the progress and existing problems in practices of hierarchical Maternal and Child Health System (MCH System) in some areas of China. Methods: Thematic framework method was used to analyze the policy practices from six aspects of leadership and governance, service provision, financing and payment, human resources in healthcare, medical products supply, and information sharing related to the hierarchical MCH System in Changzhou of Jiangsu, Shanghai, Chengdu Sichuan, Shijiazhuang of Hebei. Results: Different MCH services were selected to implement hierarchical services in the survey areas. The functions and division of MCH service institutions at all level was clarified through administrative regulations. Multiple forms of collaboration relationship were established to enhance coordination among institutions. The mechanisms of financing and medical insurance payment was modified to influence patients’ health seeking behavior. Promotion of grass-roots health service provision capability and regional health information sharing was also emphasized as an important measure of the policy practices. Conclusions: The responsibilities of MCH service institutions should be further clarified according to local conditions. Comprehensive measures should be taken to promote the capability service among primary healthcare institutions. Long-term mechanism of collaboration among institutions should be improved. An interconnected MCH information sharing platform should be established through an overall planning that has to be made. |
| Key words:Maternal and child health service Hierarchical health care system Policy analysis |
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