后疫情时代整合型健康服务体系建设思考  

Construction of an integrated health service system in the post-epidemic era

作　　者：马迪 李鹏 张东献 MA Di;LI Peng;ZHANG Dongxian(Hainan Medical University,Haikou,Hainan 571199,China)

机构地区：[1]海南医学院,海南海口571199

出　　处：《中国农村卫生事业管理》2021年第7期492-495,共4页Chinese Rural Health Service Administration

基　　金：海南省高等学校科学研究项目(Hnky-2020-44)。

摘　　要：新冠肺炎疫情暴露出我国医疗卫生服务体系中防控与治理能力不足、融合协同欠缺的短板,需要深入研究并尽快弥合。文章从国内外整合型健康服务体系研究现状与动态分析入手,提出了通过组织整合、服务整合、机制创新、制度创新组建健康联合体、健康保障局、健康大数据互联网,构建起一体化整合型的健康服务新体系;并在健联体之下将公共卫生与三医联动结合形成四体联动机制,构建起整合型健康服务的一系列协同机制;最后引入健康治理理论和新公共管理理论达到制度创新,从而为整合型服务体系的构建与协同运行提供可靠保障。The COVID-19 epidemic has exposed the weaknesses of medical and health service system in China,such as lack of prevention and control capacity and integration and coordination,which need to be further studied and remedied as soon as possible.Starting from the research status and dynamic analysis of the integrated health service system at home and abroad,this paper proposes to build a new integrated health service system through organization integration,service integration,mechanism innovation and system innovation to form a health union,health security bureau and health big data network.Under the health association,public health and"three medical linkage"are combined to form a"four body linkage"mechanism,and a series of synergistic mechanisms of integrated health services are constructed.Finally,health governance theory and new public management theory are introduced to achieve institutional innovation,so as to provide reliable guarantee for the construction and coordinated operation of integrated service system.

关 键 词：新冠肺炎疫情 医疗卫生服务系统 整合型健康服务体系 医药卫生体制改革 卫生事业管理 

分 类 号：R19[医药卫生—卫生事业管理] R197.2[医药卫生—公共卫生与预防医学]