| 引用本文：张研, 李涛, 魏然.县域互联网医疗应用演进与推进策略研究[J].中国卫生政策研究,2022,15(11):53-59 |
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| 县域互联网医疗应用演进与推进策略研究 |
| 投稿时间：2022-09-02 修订日期：2022-10-22 PDF全文浏览 HTML全文浏览 |
| 张研1,2, 李涛1,2, 魏然1,2 |
1. 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030;
2. 湖北省人文社科重点研究基地农村健康服务研究中心 湖北武汉 430030 |
| 摘要:县域内医疗资源配置呈“倒三角”格局，上下级医疗机构间服务协作不力，导致基层卫生机构服务能力趋弱，城乡医疗服务供需失衡，是当前基层卫生服务体系治理的客观难题。实践表明，互联网技术与医疗服务的结合能够革新医疗服务协作场景，消除医疗服务的时空限制，提升医疗资源配置效率。本研究剖析了当前互联网医疗的服务模式，提出了互联网医疗在县域的应用场景和推进策略，其核心切入点应落脚于服务协作的即时性与可及性，依托基层医生协助，构建供需双方共同参与的互联网医疗新模式。同时，通过政府主导、多主体深度协同以建立良性的县域互联网医疗应用生态，并对服务模式的技术有效性、医患可接受性、风险可控性和规模经济性四个方面展开系统评估，有序筛选适宜的模式推进。 |
| 关键词:互联网医疗 医共体 分级诊疗 远程医疗 服务协作 |
| 基金项目:国家自然科学基金面上项目（71974064） |
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| Research on evolution and promotion of “Internet + medical services” model in counties |
| ZHANG Yan1,2, LI Tao1,2, WEI Ran1,2 |
1. School of Medicine and Health Management, Tongji Medical College of Huazhong University of Science and Technology, Wuhan Hubei 430030, China;
2. Research Center of Rural Health Services in Hubei Key Research Base of Humanities and Social Science, Wuhan Hubei 430030, China |
| Abstract:An objective difficulty in improving primary health service system is that the service capacity of primary health institutions is weak, and there is a misbalance between supply and demand for medical services in urban and rural areas caused by the "inverted triangle" allocation of medical resources at the county level and weak cooperation between medical services of various levels. Practice has shown that introducing Internet technology into medical services revolutionizes medical cooperation by eliminating limitations of time and space, and improves efficiency in allocating medical resources. This study analyzes current modes of introducing internet into medical services, and proposes scenarios of applying "Internet+medical services" in counties as well as relevant strategies to promote this application, whose core lies in the immediacy and accessibility of collaborate services with the assistance of grassroots doctors to so that a new "Internet+medical" model is constructed, in which both the supply party and demand party are involved. At the same time, multiple parties are supposed to collaborate closely to construct benign application ecology of Internet+medical services at the county-level under the guidance of the government. Following up assessments including technical effectiveness of the service model, acceptability of doctors and patients, risk controllability and economies of scale need to be carried out for selecting the most appropriate model for wide-spread promotion. |
| Key words:Internet+medical services medical alliance hierarchical diagnosis and treatment telemedicine service collaboration |
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