中国台湾地区全民健保背景下的分级诊疗概况及其对大陆的启示  

Hierarchical Medical System Implementation Status in Taiwan against the Background of Universal Health Insurance Coverage and Its Enlightenment to the Mainland of China

作　　者：张洁 陶四海 ZHANG Jie;TAO Si-hai(School of Management,North China University of Science and Technology,Tangshan 063210,China)

机构地区：[1]华北理工大学管理学院,河北省唐山市063210

出　　处：《中国全科医学》2018年第7期764-768,共5页Chinese General Practice

摘　　要：分级诊疗制度的实施离不开健全的医疗服务体系。我国台湾地区在实施全民健康保险制度(全民健保)的背景下,随着医疗网计划的推行,各医疗机构间通过合理的运行机制实现了有效的分级诊疗。本文介绍了我国台湾地区全民健保背景下的医疗服务体系与分级诊疗的实施状况,总结和探讨我国台湾地区推进分级诊疗制度的经验,并提出我国大陆在推进分级诊疗制度的过程中,应注重提高基层医疗机构服务能力、推进医疗联合体的开展、加快推进医疗信息共享平台建设、增强民众的健康保健与分级诊疗意识,旨在进一步推进和落实分级诊疗制度。The implementation of hierarchical medical system can hardly achieve good effects without a sound healthcare delivery system.We introduced the healthcare delivery system and implementation status of hierarchical medical system during the operation of the universal health insurance system in Taiwan,summarized Taiwan's good experience,and concluded that hierarchical medical system is well under way in Taiwan,thanks to reasonable cooperation mechanism between medical institutions and the implementation of network-based healthcare plan.Moreover,based on this,we proposed the following suggestions for promoting the development of hierarchical medical system in the mainland of China:improving the service capacities of grassroots medical institutions,facilitating the development of medical consortium,advancing the establishment of network-based medical information sharing platform,and enhancing people's awareness of healthcare as well as hierarchical medical system.

关 键 词：分级诊疗 卫生服务 全民健康保险 台湾 

分 类 号：R197[医药卫生—卫生事业管理]