供给侧视角下卫生服务体系改革的“四则运算”  

“Elementary Arithmetic” of health service system reform under the view of supply side

作　　者：张永光[1,2] 王晓锋 张艳梅[2,3] 杨红梅 邹杨[1] 邹钰[1] 何庆节[1] 李伟明[2] ZHANG Yong - guang;WANG Xiao - feng;ZHANG Yan - mei;YANG Hong - mei;ZOU Yang;ZOU Yu;HE Qing - jie;H Wei - ming(＂Health Soft Science＂ Editorial Departmera of Yunnan Medical Information Research Institute, Kunming Yunnan 650031, China;School o f Public Health t Kunming Medical University/General Medical Training Centerin Yunnan Province, Kunming Yunnan 650500, China;Fuwai Cardiovascular Hospital of Yunnan Province, Kunming Yunnan 650106, China)

机构地区：[1]云南省医学信息研究所《卫生软科学》编辑部,云南昆明650031 [2]昆明医科大学公共卫生学院、云南省全科医学培训中心,云南昆明650500 [3]云南省阜外心血管病医院,云南昆明650031

出　　处：《卫生软科学》2018年第4期3-5,共3页Soft Science of Health

基　　金：云南省2016年防治艾滋病创新项目(201601)

摘　　要：以"供给侧结构性改革"论述为理论工具和切入点,提出卫生服务体系也和经济领域改革一样,需做好"加""减""乘""除"这一"四则运算"。认为卫生服务体系供给侧的核心措施是做"加法",包括提高基层卫生机构的服务能力、全方位全周期保障人民健康、发展健康产业;必要措施是做"减法",包括降低获得单位健康结果的卫生费用、限制大型公立医院业务范围;创新措施是做"乘法",包括推进"互联网+医疗健康"建设、提高卫生服务质量;保障措施是做"除法",包括指清除无效的卫生服务供给、清除卫生服务体系发展的"拦路虎",为"健康中国"战略的顺利前行扫清障碍。It takes the discussion of “Supply - side Structural Reform” as theory tool and entry point It puts forward that health service system is same as economic field reform, needs to do “Elementary Arithmetic” like “Add” ,“ Subtract” ,“Multiply” and “Divide” well. It thinks that core measures of supply side in health service system reform are to do “Add”,includes that improve service ability of health institutions, comprehensively and completely period protect people’s health,develop health industry. Necessary measures are to do H SubtractM , includes that lower health cost per health result, limit business scope of large - scale public hospital. Innovation measures are to do “ Multiply ”,in-cludes that promote the construction of uInternet ＋ HealthM , improve health service quality. Safeguard measures are to do “Divide”,includes that clear invalid health supply, clear “ A Lion in the Way” of health system development, so as to clear of obstacle for smoothly forward of the strategy of “ Health China” .

关 键 词：供给侧 机构性改革 卫生服务 健康中国 公立医院 一体化服务 

分 类 号：R19-0[医药卫生—卫生事业管理]