[1]顾 海,李子豪,王福如,等.医防融合的关键问题、机制创新与实现路径[J].卫生经济研究,2024,41(01):45-49.
 GU Hai,LI Zihao,WANG Furu,et al.Study on Key Issues, Mechanism Innovation and Implementation Path of Integration of Medical and Prevention[J].Journal Press of Health Economics Research,2024,41(01):45-49.
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医防融合的关键问题、机制创新与实现路径
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
41
期数:
2024年01期
页码:
45-49
栏目:
服务体系
出版日期:
2024-01-03

文章信息/Info

Title:
Study on Key Issues, Mechanism Innovation and Implementation Path of Integration of Medical and Prevention
作者:
顾 海1李子豪1王福如2陈新颖3陈晓军4吴雨晨2佘 权2
1.南京大学卫生政策与管理研究中心,江苏 南京 210023
2.江苏省疾病预防控制中心,江苏 南京 210000
3.江苏省宿迁市卫生健康委,江苏 宿迁 223800
4.江苏省宿迁市疾病预防控制中心,江苏 宿迁 223800
Author(s):
GU Hai LI Zihao WANG Furu CHEN Xinying CHEN Xiaojun WU Yuchen SHE Quan
Center for Health Policy and Management Research, Nanjing University, Nanjing Jiangsu 210023, China
关键词:
医防融合健康中国医疗服务体系公共卫生体系
Keywords:
integration of medical and prevention Healthy China medical service system public health service system
分类号:
R19
文献标志码:
A
摘要:
我国医疗服务与公共卫生服务相互割裂的问题由来已久,医防融合是新时代背景下实现健康中国战略的重要举措。当前,在医防融合试点实践中,存在医疗卫生服务体系多头管理、紧密型医联体尚未真正形成、医院“重医轻防”理念仍未转变、医防信息不能互联互通等问题。对此,可以借鉴宿迁的经验,从组织管理、医防服务供给、卫生筹资、医防人才与医防信息等方面入手,实现医防融合的机制创新,在此基础上,将医防融合作为常态化制度持续向纵深推进。
Abstract:
The problem of the separation between medical service system and public health service system has a long history in China, and the integration of medical and prevention is an important measure to achieve the Healthy China strategy in the new era. At present, in the pilot practice of the integration of medical and prevention, there are some problems, such as the multi management of the medical and health service system, the lack of compact medical associations, the unchanged concept of "prioritizing medical over prevention" in hospitals, and the inability to connect medical and prevention information. In this regard, learn from the experience of Suqian city, it is necessary to innovate the mechanism for the integration of medical and prevention from the aspects of organizational management, medical and preventive service supply, health financing, medical and preventive personnel, and medical and preventive information. Based on this, the integration of medical and prevention should be constructed as a normalized system and continuously promoted in depth.

参考文献/References:

[1] 刘珏,闫温馨,刘民,等.新时期健康中国建设中的医防协同:理论机制与政策演变[J].中国科学基金,2023,37(03):451-460.
[2] 张亮,邢怡青,马希望.基层医疗卫生体系现代化的理论逻辑、历史演进与未来进路[J].社会科学研究,2023(04):111-121.
[3] 苏明阳,徐进,刘晓云,等.基本医疗卫生与公共卫生服务整合的国际经验及启示[J].中国卫生政策研究,2021,14(08):67-73.
[4] 陈家应,胡丹.医防融合:内涵、障碍与对策[J].卫生经济研究,2021,38(08):3-5,10.
[5] 宋晓庆,熊季霞.基于共生理论的纵向型医联体利益协调机制研究[J].卫生经济研究,2019,36(01):13-16.
[6] 杨玲丽.共生理论在社会科学领域的应用[J].社会科学论坛, 2010(16):149-157.
[7] 李怡霖,熊子蕙,房惠妍,等.我国医防融合政策分析:政策演化与政策工具运用[J].中国卫生政策研究,2023,16(01):19-27.
[8] 王显君,唐智友,杨文梅,等.基层医疗卫生机构医防“五融合”健康管理服务模式研究[J].中国全科医学,2020,23(31):3924-3929.
[9] 李程,单莹,李士雪.“公共卫生+”医防融合发展对策研究[J].中国公共卫生管理,2023,39(02):141-143.
[10] 姚轶凡,林坤河,钟正东,等.医保按人头付费对医共体慢病管理的治理机制研究——基于整体性治理视角[J].中国卫生政策研究,2023,16(03):30-36.
[11] 庞瑞芝,李倩楠.健康中国背景下的“看病贵”与政府支出——基于资源配置结构性失衡视角的分析[J/OL].[2023-08-30].西安交通大学学报(社会科学版):1-18.
[12] 顾昕.“健康中国”战略中基本卫生保健的治理创新[J].中国社会科学,2019(12):121-138,202.
[13] 郁建兴,陈韶晖.县域医共体改革如何提升突发公共卫生事件应对能力——基于浙江省的实证研究[J].治理研究,2023,39(03):13-28,158.
[14] 胡耀岭,张常葆.完全自主还是有限选择:中国家庭医生签约服务制度研究[J].中国卫生事业管理,2023,40(05):330-334.
[15] 李力,郑英.总额预付制下县域医共体激励约束机制分析:个人利益与集体利益的冲突[J].公共管理与政策评论,2023,12(01):140-155.

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更新日期/Last Update: 2024-01-03