| 引用本文：刘兰芳, 姚岚.基层卫生健康事业高质量发展内涵与路径分析[J].中国卫生政策研究,2024,17(1):17-23 |
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| 基层卫生健康事业高质量发展内涵与路径分析 |
| 投稿时间：2023-11-12 修订日期：2023-12-22 PDF全文浏览 HTML全文浏览 |
| 刘兰芳, 姚岚 |
| 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030 |
| 摘要:目的：分析新发展格局下基层卫生健康事业高质量发展内涵与实现路径，期望充分发挥基层卫生在优质高效整合型医疗卫生服务体系构建过程中的网底优势。方法：基于Donabedian结构—过程—结果三维质量理论分析基层卫生健康事业高质量发展的核心内涵与实现路径。结果：基层卫生健康事业高质量发展内涵包括整合协同式的资源结构、创新内涵式的服务过程、优质高效的结果产出三个方面。通过体系创新与发展、创新供给侧结构性改革促进供需双方的健康主体责任落实、建立以健康结果考核为激励导向的评价机制，助力基层卫生健康事业实现高质量发展。结论：基层卫生健康事业高质量发展需要多要素之间协同联动，重点关注供给与需求之间的协调与平衡，围绕健康目标，创新服务模式，延伸服务提供，实现基层卫生健康从治疗服务型向健康管理型转变，促进基层卫生健康事业形成生存与发展的良性循环。 |
| 关键词:基层卫生 高质量发展 内涵 路径 |
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| Analysis of the connotation and path of high-quality development of primary health care |
| LIU Lan-fang, YAO Lan |
| School of Medicine Health Management of Tongji Medical College of Huazhong University of Science and Technology, Wuhan Hubei 430030, China |
| Abstract:Objective: To analyze the connotation and realization path of high-quality development of primary health care under the new development pattern, and expects to give full play to the advantages of primary health in the construction of a high-quality, efficient and integrated medical and health service system. Methods: Based on the Donabedian structure-process-outcome three-dimensional quality theory, the core connotation and realization path of high-quality development of primary health care were analyzed. Results: The connotation of high-quality development of primary health care includes three aspects: integrated and collaborative resource structure, innovative connotative service process, and high-quality and efficient outcome output. Through system innovation and development, innovative supply-side structural reform, we will promote the implementation of the main responsibility of health on both the supply and demand sides, and establish an evaluation mechanism guided by health outcome assessment, so as to help grassroots health care achieve high-quality development. Conclusions: The high-quality development of primary health care requires the coordination and linkage between multiple elements, focusing on the coordination and balance between supply and demand, focusing on health goals, innovating service models, extending service provision, realizing the transformation of primary health care from treatment service to health management, and promoting the formation of a virtuous circle of survival and development of primary health care. |
| Key words:Primary health care High-quality development Connotation Path |
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