骨科康复——价值链的市场新概念  

Orthopaedic rehabilitation -- the new marketing concept of value chain

作　　者：陈启明[1] 罗尚尉 林蜜蜜[1] 

机构地区：[1]香港中文大学矫形外科及创伤学系

出　　处：《中华骨科杂志》2016年第13期876-880,共5页Chinese Journal of Orthopaedics

摘　　要：随着患者对生活质量的要求不断提高，骨科康复的迅速发展是必然趋势。骨科康复是骨科价值链中不可或缺的一部分，完整和流畅的价值链能让骨科与康复更好的结合在一起，提升医疗质量，从而让骨科在竞争激烈的医疗市场中保持优势。从2008年汶川地震可以看到，除骨科治疗外，还需要向患者提供长期及全面的康复服务，才能使其尽可能地恢复生活自理能力，并发挥所长，重新融入社会。中国人口老龄化趋势、GDP快速增长以及医疗保健制度的不断完善，都说明我国健康服务产业发展具备巨大潜力，骨科市场尤其庞大。如何抓住市场机遇，让骨科在竞争激烈的医疗市场中保持领先地位，值得我们深思。骨科也需要检讨自身发展模式，除应完善价值链并具备4A供应链理念外，还需要有治愈患者的能力（Ability）、让患者容易得到骨科服务和相关资讯（Accessibility），并考虑患者的承担能力（Affordability），才能在急速发展的医疗领域中充分发挥自身实力。通过理顺骨科康复流程，可大幅优化骨科价值链，包括缩短患者住院时间、提升治疗效果及节省医疗资源；需要做到整合治疗流程，增加培训，完善体制和管理，加强宣教，扩大网络，配合国家医疗保障系统。随着患者对生活质量要求的提高，对骨科医生的期望也增加，可单纯的手术和（或）药物并不能帮患者获得最佳的功能恢复。出院后的患者需要转至社区卫生服务机构进行康复治疗。康复是骨科整体治疗中一个重要环节，理想的骨科价值链，是将人才、物资、服务、器材的价值统一整合，最终令医疗服务更流畅。完善的骨科康复管理及流程，骨科整体价值链也就得到改善，良好的疗效将增加正面反馈，进一步提升医院的品牌形象，患者、医疗人员和医院都将得益。With patients increasing demand on quality of life, the development in orthopaedic rehabilitation is inevitable. As an important part of overall treatment process, rehabilitation is essential for orthopaedic value chain. The integrity of the value chain can lead to high standards of health care and will keep the advantage of orthopaedic in today＇s competitive market. The Sich？uan earthquake in 2008 shows that the patients need long term and comprehensive orthopaedics rehab services apart from ortho？paedic surgeries, so that they can resume their living ability and return to society. Moreover, the ageing trend, GDP growth and im？provement on healthcare system in China show a great potential in rehabilitation industry. And the market of orthopaedics is uge. It is worth thinking that how we can seize the opportunity to let orthopaedic take the lead in the competitive medical market. In the rapid development, the orthopaedic field has to review its own development model. Apart from a comprehensive value chain with 4A supply chain concepts, the ability to heal the patients, patients＇ accessibility to service information, consideration of patients＇ affordability are needed. By improving the flow of orthopaedic rehab, the orthopaedic value chain can be enhanced, including re？ducing the time patients have to stay in hospital, improving the treatment effect, making the management more systematic, doing more promotion, enlarging the network, following the country’s healthcare insurance scheme. As patients have higher demand for life quality, they have greater expectation on orthopaedic doctors, surgeries and medicines alone cannot provide the best rehabilita？tion. After leaving hospital, patients need to be referred to community healthcare institutions to have rehab treatment. Orthopae？dics rehab is an important part in orthopaedic treatments. The ideal value chain is to gather experts, resources, services and equip？ment, to make medical service more smooth. Thus the impact of surgeries and medical ef

关 键 词：骨科康复 医疗市场 价值链 生活自理能力 社区卫生服务机构 康复服务 医疗保健制度 医疗保障系统 

分 类 号：R68[医药卫生—骨科学] R49[医药卫生—外科学]