[1]黄秀女,陈玉倩,原萌莉.供给侧视角下我国分级诊疗的实现路径——以英国NHS改革与上海家庭医生实践为例[J].卫生经济研究,2022,39(3):50-52.
　WANG Man-fei,CHEN Xin-yi,WANG An-shi,et al.Chronic Disease Management in Primary Health Care Settings: Experiences, Problems and Recommendations——Based on Case Analysis[J].Journal Press of Health Economics Research,2022,39(3):50-52.
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供给侧视角下我国分级诊疗的实现路径
——以英国NHS改革与上海家庭医生实践为例
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
39
期数:
2022年3期
页码:
50-52
栏目:
基层卫生
出版日期:
2022-03-01

文章信息/Info

Title:
Chronic Disease Management in Primary Health Care Settings: Experiences, Problems and Recommendations
——Based on Case Analysis
作者:
黄秀女1; 陈玉倩2; 原萌莉1
1.华东理工大学，上海200237
2.上海市卫生和健康发展研究中心，上海200041
Author(s):
WANG Man-fei;  CHEN Xin-yi;  WANG An-shi;  LI Chun-sheng;  ZHANG Bin
School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
关键词:
竞争性薪酬机制; 激励机制; 薪酬结构
Keywords:
primary health care institutions;  chronic disease management;  case analysis
分类号:
R197
文献标志码:
A
摘要:
目的：通过典型案例分析，从供方视角提出实现分级诊疗的可行性方案。方法：选择英国的国家医疗服务体系（NHS）薪酬改革以及上海的家庭医生实践作为典型案例，分析其做法和成效。结果：英国NHS全科医生薪酬侧重激励性与灵活性的特点，专科医生薪酬兼顾稳定性与质量性特点。结论：英国NHS松紧结合的竞争性薪酬改革及辅助诊疗系统不仅提高了各层级医生工作积极性，保证了医生的收入与劳务价值相匹配，也解决了医疗资源配置“倒三角”问题，为我国实现分级诊疗提供了一定的借鉴。
Abstract:
Primary health care institutions are responsible to provide basic public services to residents, and play the role of "gatekeeper" in the chronic disease management. This study adopted case analysis to investigate the chronic disease management experiences of primary health care institutions. We found that there showed shortage of primary medical personnel, imbalance between information platform constructions, insufficiency in health education, and incompletion of chronic disease management system. It is suggested to enhance the workforce construction, advance the build of chronic disease management information platform, carry out personalized health interventions, promote hierarchical diagnosis and treatment, and improve support policies for family doctors. All of these could help gradually improve the ability of primary health care institutions to prevent and treat chronic diseases.

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更新日期/Last Update: 2022-03-01