后扶贫时期远程医疗健康扶贫实施现状及障碍因素分析  

Analysis of the current situation and obstacle factors of telemedicine health poverty alleviation in the post-poverty era

作　　者：朱虹 殷国桓 张小波[2] 单凌寒 郝佳彤 韩月 刘兰茹 ZHU Hong;YIN Guohuan;ZHANG Xiaobo;SHAN Linghan;HAO Jiatong;HAN Yue;LIU Lanru(Department of Pharmaceutical Management,College of Humanities and Social Sciences,Harbin Medical University,Heilongjiang Province,Harbin 150086,China;Department of Geriatrics,the Fourth Affiliated Hospitals,Harbin Medical University,Heilongjiang Province,Harbin 150001,China;Department of Social Medicine,College of Health Management,Harbin Medical University,Heilongjiang Province,Harbin 150081,China;Department of Ideological and Moral Cultivation,School of Marxism,Harbin Medical University,Heilongjiang Province,Harbin 150086,China)

机构地区：[1]哈尔滨医科大学人文社会科学学院药事管理教研室,黑龙江哈尔滨150086 [2]哈尔滨医科大学附属第四医院老年病科,黑龙江哈尔滨150001 [3]哈尔滨医科大学卫生管理学院社会医学教研室,黑龙江哈尔滨150081 [4]哈尔滨医科大学马克思主义学院思想道德修养教研室,黑龙江哈尔滨150086

出　　处：《中国医药导报》2020年第36期8-11,19,共5页China Medical Herald

基　　金：黑龙江省哲学社会科学研究规划项目(18SHC231)。

摘　　要：在国家政策引导及各地积极探索下,远程医疗健康扶贫不断扩大覆盖地域、丰富服务内涵、创新医疗模式。通过分析中国远程医疗健康扶贫实施现状,发现其面临资金投入、技术配置及维护、诊疗能力、认知及偏好、法规、制度及机制方面等的障碍因素。并提出探索贫困地区可持续、多元化的资金筹集与保障渠道,加强设施、技术及人才建设,推进远程医疗服务供给侧改革,激励医患的选择偏好,建立健全相关法规、制度及机制等建议,以期促进“后扶贫时期”远程医疗健康扶贫的长远发展及健康扶贫长效机制的健全。Under the guidance of national policies and active exploration by various localities,telemedicine health poverty alleviation has continuously expanded the coverage area,enriched service content,and innovated medical models.By analyzing the current situation of the implementation of telemedicine health poverty alleviation in China,it is found that it faces obstacles such as capital investment,technical configuration and maintenance,diagnosis and treatment capabilities,cognition and preferences,regulations,systems and mechanisms.It also proposes to explore sustainable and diversified funding and guarantee channels in poverty-stricken areas,strengthen the construction of facilities,technologies and talents,promote the reform of the supply side of telemedicine services,stimulate the preference of doctors and patients,establish and improve relevant regulations,systems and mechanisms,etc.In order to promote the long-term development of health and poverty alleviation through telemedicine in the“post-poverty alleviation period”and the soundness of the long-term mechanism of health and poverty alleviation.

关 键 词：远程医疗 健康扶贫 实施现状 障碍因素 

分 类 号：R-1[医药卫生]