引用本文:代涛.“以人为中心”整合型医疗健康服务体系的关键要素研究[J].中国卫生政策研究,2022,15(1):2-10 |
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“以人为中心”整合型医疗健康服务体系的关键要素研究 |
投稿时间:2021-11-26 修订日期:2022-01-15 PDF全文浏览 HTML全文浏览 |
代涛 |
中国医学科学院卫生政策与管理研究中心 北京 100020 |
摘要:近年来,按照新时代卫生与健康工作方针和全面推进健康中国建设的要求,医疗健康服务体系建设与改革取得巨大成就,但与满足人民群众的健康服务需求和健康中国建设要求还有差距。构建“以人为中心”的整合型医疗健康服务体系既是发展趋势,也是卫生健康事业高质量发展的必然要求。本文认为构建“以人为中心”整合型医疗健康服务体系就是全面落实“以人民健康为中心”的发展理念,推动实现人人享有基本医疗健康服务的目标。其关键要素包括全面落实“以人为中心”的理念;建设覆盖全方位、全生命周期的医疗健康服务体系;提供连续性、协调性、综合性、个性化的整合型医疗健康服务;构建分工协作为导向的激励相容机制;建设多元共治共享的治理机制和高效的沟通反馈机制;建设互联互通的信息系统和推动信息技术广泛深入应用等。文章最后提出了构建整合型医疗健康服务体系的政策启示和建议,供决策参考借鉴。 |
关键词:以人为中心 整合型医疗健康服务体系 关键要素 |
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(CIFMS 2016-I2M-3-018) |
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Analysis of the key elements on people-centered integrated healthcare system |
DAI Tao |
Center for Health Policy and Management, Chinese Academy of Medical Science, Beijing 100020, China |
Abstract:In recent years, great achievements have been made in the construction and reform of China's healthcare system in accordance with the new-era guidelines for health work and construction requirements of comprehensively promoting Healthy China. However, deficiencies still exist in meeting people's demands for health services and the construction requirements of Healthy China. Establishment of a people-centered integrated healthcare system is not only a developing trend, but also an inevitable requirement for the development of a high-quality health industry. This paper believes that the construction of a “people-centered” integrated healthcare system is to fully implement the development concept of centering on people's health and promote the realization of basic health services being available to all. Its key elements include: full implementation of the people-centered concept; construction of a healthcare system covering all aspects of people's whole lifetime; provision of continuous, coordinated, comprehensive, personalized and integrated health services; construction of an incentive compatibility mechanism oriented by labor division and cooperation; establishment of a multi-subject co-governance and sharing governance mechanism and a high-efficiency communication and feedback mechanism; and establishment of an interconnected information system and promotion of the extensive and in-depth application of information technology. Finally, the paper puts forward policy enlightenments and suggestions for constructing the integrated healthcare system, which can be used as references for the government in the future decision-making. |
Key words:People-centered Integrated healthcare system Key elements |
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