协同医疗服务体系的构建机制分析

发布时间：2018-04-10 23:17

本文选题：协同医疗服务体系 + 构建机制　；参考：《中国卫生经济》2017年07期

【摘要】：目的:阐述协同医疗服务体系的内涵并分析其构建机制。方法:基于2005—2015年"中国卫生统计年鉴"中反映分级诊疗状况的数据,从目的、手段和核心三方面比较传统医疗服务体系与协同医疗服务体系,从导向、控制、监管和调节四个方面分析了协同医疗服务体系的构建机制。结果:在健康中国背景下,协同医疗服务体系是以"社区健康"为目的、以"分工合作"为手段、以"成本管理"为中心的协同型医疗服务系统,区别于传统的以"医疗服务"为目的、以"竞争瓜分"为手段,以"业务流水"为中心的竞争型医疗服务体系。分级诊疗是区域协同医疗的现象或手段,是协同医疗服务体系下医疗资源优化配置的结果,构建协同医疗服务体系是医药卫生体制改革的本质需求。结论:构建协同医疗服务体系,必须以医疗机构绩效考核为"指挥棒",以医疗保险付费为"控制器",以成本核算为"监视器",以医疗服务价格调整为"调节器",使医疗服务体系的需方、供方和第三方都受益,共建共享健康社区。
[Abstract]:Objective: to expound the connotation of cooperative medical service system and analyze its construction mechanism.Methods: based on the data of China Health Statistics Yearbook from 2005 to 2015, the traditional medical service system and the cooperative medical service system were compared in terms of purpose, means and core.The construction mechanism of collaborative medical service system is analyzed in four aspects of supervision and regulation.Results: under the background of healthy China, the cooperative medical service system is a collaborative medical service system with "community health" as its purpose, "division of work and cooperation" as the means and "cost management" as the center.It is different from the traditional competitive medical service system with the aim of "medical service", the means of "competition and partition" and the center of "business income".Hierarchical diagnosis and treatment is a phenomenon or means of regional coordinated medical treatment, which is the result of the optimal allocation of medical resources under the cooperative medical service system. Building a collaborative medical service system is the essential requirement of the reform of the medical and health system.Conclusion: to construct cooperative medical service system,We must take the performance appraisal of the medical institution as the "baton", the medical insurance payment as the "controller", the cost accounting as the "monitor", and the price adjustment of the medical service as the "regulator", so that the demand-side, the supplier and the third party of the medical service system can benefit.Build and share healthy communities.
【作者单位】：右江民族医学院;国家卫生计生委卫生发展研究中心;
【基金】：2015年国家自然科学基金项目(71563056)
【分类号】：R197.1

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