CAS理论视角下远程分级诊疗服务运行机制研究  

Operational Mechanism of Tele-Hierarchical Care:Analysis from the Complex Adaptive System

作　　者：陈祥华 李婧[1] 崔静[2,3] 安佰悦 孙健平 崔楠[1,4] Chen Xianghua;Li Jing;Cui Jing(The Affiliated Hospital of Qingdao University,Qingdao,Shandong,266003,China;不详)

机构地区：[1]青岛大学附属医院,山东青岛266003 [2]青岛市疾病预防控制中心,山东青岛266003 [3]青岛市预防医学研究院,山东青岛266003 [4]青岛大学,山东青岛266071

出　　处：《中国医院管理》2023年第7期20-24,共5页Chinese Hospital Management

基　　金：山东省自然科学基金项目(ZR2021QG066);青岛市医院协会管理研究项目。

摘　　要：分级诊疗是我国5项基本医疗卫生制度之首,也是我国深化医药卫生体制改革的核心目标之一,有利于优化资源配置、提高医疗机构服务效率、促进卫生健康事业发展。利用复杂适应系统(Complex Adaptive System,CAS)理论,结合远程医疗技术,明确远程分级诊疗服务的需求方、供给方、行政监管方等参与主体,并利用其7个基本特征,从不同主体角度构建了远程分级诊疗服务的运行机制,从理论上为远程分级诊疗服务的发展提供新的思路。Hierarchical healthcare system is an important measure in the process of promoting new medical reform in China,which is conducive to optimizing resource allocation,improving service efficiency of medical institutions,and promoting the development of health care.The theory of complex adaptive system and combines with telemedicine technology is applied to clarify the participants including the demand side,the supply side,the fundraising party,the administrative supervision party.It also uses seven basic concepts to construct the operational mechanism of tele-hierarchical care and theoretical y provides new ideas for the development of Chinese tele-hierarchical care.

关 键 词：远程分级诊疗服务 复杂适应系统 运行机制 

分 类 号：R197.1[医药卫生—卫生事业管理]