荷兰以人为本整合型卫生服务的实践与启示  

Practice and Implications of People-centered Integrated Care in Netherlands

作　　者：郑英[1] 李力[1] 王清波[1] ZHENG Ying;LI Li;WANG Qing-bo(Institution of Medical Information,Chinese Academy of Medical Sciences,Beijing,100020,China)

机构地区：[1]中国医学科学院医学信息研究所

出　　处：《中国初级卫生保健》2019年第12期6-8,共3页Chinese Primary Health Care

基　　金：中国医学科学院医学与协同创新工程创新团队项目(2016-I2M-3-018)

摘　　要：从服务提供、治理机制、组织管理和筹资支付四个维度,分析荷兰实现以人为本的整合型卫生服务的关键要素,包括以全科医生服务团队为核心的网络化医疗卫生服务体系、良性市场竞争机制和广泛的社会参与及多部门合作的治理网络,促进整合的医保支付制度,成熟的全科医生培养体系和互联互通的信息系统,并结合中国实际,提出我国现阶段应将基层医疗卫生服务体系作为建设重点和优先领域,以家庭医生签约服务为抓手,加强医保对服务提供者的激励和约束,破除市场竞争、人才培养和信息共享等方面的体制机制障碍,构建以家庭医生服务团队为核心的网络化服务体系。From the dimension of service support,governance mechanism,organization management and financial payment,it analyzed the key elements of PCIC in Netherlands from health service delivery,including the health service network with family physician team being the core member,benign market competition mechanism,extensive social participation and multi-sectoral cooperative governance network,promoting integrated health care payment systems,mature general practitioner training system and interconnected information system. According to the actual practical situation,China should give priority to primary health care system. In order to establish health care network with family physician team as the core,China should take the general practitioner contracted services as knob to strengthen the incentives and constraints of medical insurance to service providers and remove institutional obstacles in market competition,personnel training and information sharing.

关 键 词：卫生服务整合 家庭医生服务团队 荷兰 

分 类 号：R197[医药卫生—卫生事业管理]