分级诊疗的路径优化探讨——基于比较和评价的视角  

Discussing The Optimization of Hierarchical Diagnosis Path From The Perspective of Comparison and Evaluation

作　　者：岳林琳[1] 张翠萍[1] 邢洁 郭健美 王波[1] 刘文凤 Yue Linlin(School of Public Health and Management,Weifang Medical University,Weifang,P.R.China)

机构地区：[1]潍坊医学院公共卫生与管理学院,山东潍坊261053 [2]中国人民大学公共管理学院

出　　处：《中国卫生事业管理》2020年第9期647-650,704,共5页Chinese Health Service Management

基　　金：2019年度山东省社会科学规划项目“山东省分级诊疗实践探索与路径优化研究”(19CGLJ28);2019年度山东省社会科学规划项目“山东省社区卫生机构家庭医生签约服务的优化与推广研究”(19CGLJ29);2018年度山东省社科普及项目“如何让城乡居民病有所医-山东省城乡居民医疗保险政策解读”(2018-SKZZ-09)

摘　　要：分级诊疗制度的构建和完善是我国医药卫生体制改革的重要组成部分,是有效破解“看病贵”“看病难”这一困境的有效对策。发达国家完善的分级诊疗制度和实践对我国分级诊疗的建设具有很好的借鉴意义。本文对四个发达国家分级诊疗的制度设计进行了比较,对其分级诊疗经验进行了评价总结和借鉴,在此基础上对我国分级诊疗的优化路径进行了探讨。The construction and improvement of hierarchical diagnosis system is an important part of China's medical and health system reform,which is an effective countermeasure to effectively solve the dilemma of "Difficult and Expensive Medical Treatment".The perfect system and practice of hierarchical diagnosis in developed countries can be used for reference in its construction in China.The system design of hierarchical diagnosis in four developed countries was comparatively analyzed,and the experiences were evaluated and summarized.Based on which,the path to optimize the hierarchical diagnosis system in China was discussed.

关 键 词：分级诊疗 基层首诊 双向转诊 全科医生 医疗机构 

分 类 号：R197.1[医药卫生—卫生事业管理]