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| 投稿时间： 2015-12-18 最后修改时间： 2016-04-01 摘要点击次数: 2379 全文下载次数: 14 |
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| 引用本文：梁思园, 何莉, 宋宿杭,等.我国医疗联合体发展和实践典型分析[J].中国卫生政策研究,2016,9(5):42-48 |
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| 梁思园, 何莉, 宋宿杭, 金音子, 袁蓓蓓, 孟庆跃 |
| 北京大学中国卫生发展研究中心 北京 100191 |
| 基金项目:国家自然科学基金青年科学基金项目(71403008) |
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| | 摘要:近年来,各地积极探索上下联动的医疗联合体形式,希望实现医疗资源最大化利用和居民就诊的合理分流。本文综述了北京、上海、镇江、武汉四个典型城市构建医联体的整合机制,即组织及管理机制、人员建设机制、利益分配机制、服务连续性机制和资源共享机制,分析其取得的效果,并讨论了实践中在分工协作模式及治理结构的可持续性、人力对接及激励措施、医保对机构和患者的引导、双向转诊及其配套措施以及信息系统建设面临的挑战与对策建议,对各地医联体的实施推进提供参考。 | |
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关键词:医疗联合体 整合 双向转诊 分级诊疗
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| The development and practice of integrated healthcare in China |
| LIANG Si-yuan, HE Li, SONG Su-hang, JIN Yin-zi, YUAN Bei-bei, MENG Qing-yue |
| China Center for Health Development Studies, Peking University, Beijing 100191, China |
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| | Abstract:Recently, the country actively explores the pattern of an integrated healthcare which enables the association among hospitals of different levels, aimed to achieve maximum utilization of medical resources and lead a reasonable distribution of the patients. By reviewing the practices related to the integration of healthcare in Beijing, Shanghai, Zhenjiang and Wuhan city, this paper sums up in five typical mechanisms, i.e. organization and management mechanism, human resource management mechanism, interest distribution mechanism, service continuity and resources sharing mechanism. The effects of these practices were analyzed and the faced challenges were discussed. The following points were made clear during analysis and discussion: the sustainability of the collaboration mode and organization structure, human resource supports and incentive methods, health insurance guidance for hospitals and patients, two-way referral system and supporting measures, and building of information system. Then we put forward some suggestions, hoping to offer some references to the establishment of integrated healthcare in other regions. | |
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