[1]张 芃.基层首诊推行困难的原因与政策建议——基于诊断树模型及“控制阀门”理论[J].卫生经济研究,2020,(02):31-34.
 ZHANG Peng.Reasons and Policy Suggestions for Difficulty in Implementation of First-level Diagnosis at Primary Level——Based on the Diagnostic Tree Model and the “Control Valve” Theory[J].Journal Press of Health Economics Research,2020,(02):31-34.
点击复制

基层首诊推行困难的原因与政策建议
——基于诊断树模型及“控制阀门”理论
分享到:

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
期数:
2020年02期
页码:
31-34
栏目:
聚焦医改
出版日期:
2020-02-11

文章信息/Info

Title:
Reasons and Policy Suggestions for Difficulty in Implementation of First-level Diagnosis at Primary Level
——Based on the Diagnostic Tree Model and the “Control Valve” Theory
作者:
张 芃1
1.复旦大学公共卫生学院,上海 200000
Author(s):
ZHANG Peng
School of Public Health,Fudan University ,Shanghai 200000,China
关键词:
基层首诊诊断树模型“控制阀门”理论
Keywords:
first-level diagnosis at the primary leveldiagnostic tree modelcontrol valve theory
分类号:
R19
文献标志码:
A
摘要:
当前,基层首诊在各地实践中出现了推行困境。本文构建诊断树模型,对基层首诊困境的根本原因进行层层分解与深入分析,并基于卫生改革的“控制阀门”理论,从筹资、支付、组织、管制、行为五个方面,提出提高基层首诊绩效的政策建议。
Abstract:
At present,the first-level diagnosis at the primary level has encountered difficulties in implementation in various places. This article builds a diagnostic tree model,analyzes the root causes of the first-diagnosis dilemma at the primary level in depth. Based on the "control valve" theory of health reform,it proposes to improve the first-level diagnosis at the primary level from five aspects: financing,payment,organization,regulation,and behavior. Policy recommendations to improve the performance of the first-level diagnosis at the primary level are offered.

参考文献/References:

[1]潘建军, 马国栋. 我国分级诊疗制度实施现状及问题分析[J]. 中国初级卫生保健, 2018,32(11):4-7.
[2] 徐杰. 乡镇卫生院运行机制述评[J].卫生经济研究,2018(7):3-5.
[3] WU D, LAM T P, LAM K F, et al. Health reforms in china: the public’s choices for first-contact care in urban areas[J]. Family Practice, 2017:w133.
[4] 成王金,朱益民. 基层首诊实施的制约因素与促进对策[J].卫生经济研究,2017(10):56-58.
[5] 计光跃, 胡立安, 史明秀, 等. 上海市某区分级诊疗制度实施现状分析[J]. 中国卫生资源, 2016,19(4):315-317.
[6]王薇, 李力桢, 任毅. 广州市基层首诊政策执行困境及对策[J]. 现代医院管理, 2018,16(2):17-19.
[7] 荣超, 汤真清, 冯学山, 等. 基于诊断树方法论证上海市社区全科医师团队发展现状[J]. 中国农村卫生事业管理, 2014,34(4):373-375.
[8] 徐颖, 李志芳. 基层首诊与分级医疗制度建设的思考[J]. 中国农村卫生事业管理, 2015,35(4):417-419.
[9] 张慧林, 成昌慧, 马效恩. 分级诊疗制度的现状分析及对策思考[J]. 中国医院管理, 2015,35(11):8-9.

相似文献/References:

[1]张 靓,董恒进,郜 琳,等.居民就诊意愿与基层医疗服务能力研究[J].卫生经济研究,2016,(08):19.
[2]成王金,朱益民.基层首诊实施的制约因素与促进对策[J].卫生经济研究,2017,(10):56.
[3]黄翔宇,何克春.美国经验对我国推行分级诊疗的启示[J].卫生经济研究,2017,(11):22.
[4]周晓容,邓 靖,彭美华.农村地区家庭医生签约服务现状及对策研究[J].卫生经济研究,2018,(04):52.
[5]汪曾子,刘娅莉,蒋 祎,等.医疗机构患者政策认知对基层首诊意愿的影响分析[J].卫生经济研究,2019,(06):24.
 WANG Zeng-zi,LIU Ya-li,JIANG Yi,et al.Analysis of the Influence of Patient Policy Cognition on the First-degree Willingness of Primary Care in Medical Institutions[J].Journal Press of Health Economics Research,2019,(02):24.
[6]苏 源,杨 静,司明舒,等.宁夏居民基层首诊选择及影响因素研究[J].卫生经济研究,2020,(09):35.
 SU Yuan,YANG Jing,SI Ming-shu,et al.Study on the Selection of Primary Diagnosis and Influencing Factors among Residents[J].Journal Press of Health Economics Research,2020,(02):35.
[7]陈玉香,蒋 鹏,刘 顺,等.医联体内患者基层首诊意愿及其影响因素研究[J].卫生经济研究,2021,38(9):13.
 CHEN Yu-xiang,JIANG Peng,LIU Shun,et al.Study on the Willingness and Influencing Factors of Patients on Primary Treatment[J].Journal Press of Health Economics Research,2021,38(02):13.
[8]杜 涛,刘珍珍,杨嘉领.医联体内患者就医机构选择行为研究[J].卫生经济研究,2022,39(2):40.
 DU Tao,LIU Zhen-zhen,YANG Jia-ling.Research on the Patients' Choice Behavior of Preferred Medical Institutions in the Regional Medical Association[J].Journal Press of Health Economics Research,2022,39(02):40.
[9]钱锡红,刘 佳,戴源源.广州市居民分级诊疗认知与就医行为研究[J].卫生经济研究,2022,39(3):53.
 QIAN Xi-hong,LIU Jia,DAI Yuan-yuan.Research on Hospital Visiting Behavior and Perception of Hierarchical Medical System of Residents in Guangzhou[J].Journal Press of Health Economics Research,2022,39(02):53.
[10]李 博,苗春霞,黄晓静,等.社会经济地位与居民基层首诊选择: 质量、性价比和可及性[J].卫生经济研究,2023,40(10):16.
 LI Bo,MIAO Chunxia,HUANG Xiaojing,et al.Socio-economic Status and Residents' Choice of First-visit at Primary Care Institutions: Quality, Cost Performance and Accessibility[J].Journal Press of Health Economics Research,2023,40(02):16.

更新日期/Last Update: 2020-02-11