分级诊疗体系和谐共生机制的理论探索与研究路径  

Theoretical exploration and research pathways of the harmonious symbiotic mechanism in the tiered medical treatment system

作　　者：王小合[1] 钱宇[1] 吴长玲[2] 陈洁[3] 陈小雨 彭志毅 Wang Xiaohe;Qian Yu;Wu Changling;Chen Jie;Chen Xiaoyu;Peng Zhiyi(School of Public Health,Hangzhou Normal University,Hangzhou 311121,China;Department of Medical Affairs,Hangzhou First People′s Hospital,Hangzhou 310006,China;Medical Insurance Office,The First Affiliated Hospital of Medical School of Zhejiang University,Hangzhou 310003,China)

机构地区：[1]杭州师范大学公共卫生学院,杭州311121 [2]杭州市第一人民医院医务部,杭州310006 [3]浙江大学医学院附属第一医院医疗保险办公室,杭州310003

出　　处：《中华医院管理杂志》2023年第4期269-273,共5页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金(71974050,72274051)。

摘　　要：分级诊疗制度是全面深化医药卫生体制改革中一项基础性、关键性的重大制度,是推动健康中国建设的重要途径。挖掘分级诊疗体系供需侧多元主体和谐共生机制,促进科学合理的分级诊疗就医秩序形成,已成为亟须回答且具有重大社会影响的公共命题。作者围绕当前我国分级诊疗体系缺乏系统性、整体性、协同性的现实问题并基于文献综述发现的学术议题,以和谐管理理论与共生理论为指导,遵循"利益相关主体界定→和谐共生要素分析→和谐共生机制梳理→和谐共生效应阐释→和谐共生理论模型构建与验证"的逻辑思路,提出分级诊疗体系和谐共生机制形成的理论构想与未来研究路径,以期为学界探索分级诊疗体系和谐共生机制铺设道路。The tiered medical treatment system stands as a cornerstone in the deepening reforms of China′s medical and health sectors,playing a crucial role in building a healthy China.Exploring the harmonious coexistence mechanism of multiple entities on the supply and demand sides of the tiered diagnosis and treatment system,and promoting the formation of a scientific and reasonable tiered diagnosis and treatment order,has become an urgent public proposition that needs to be answered and has significant social impact.Addressing the challenges in China′s tiered medical treatment system,particularly its need for a more systematic,comprehensive,and collaborative approach,this study is informed by a thorough literature review.Based on the harmonious management and symbiosis theories,the authors proposed a theoretical concept and future research path for the formation of a harmonious symbiotic mechanism in the tiered diagnosis and treatment system,in order to pave the way for exploring the harmonious symbiotic mechanism in the tiered diagnosis and treatment system.

关 键 词：分级诊疗体系 和谐管理理论 共生机制 理论探索 研究路径 

分 类 号：R197.323[医药卫生—卫生事业管理]