构建优质高效的整合型卫生健康体系  

How to Build a Quality,Efficient and Integrated Health System

作　　者：梁万年 LIANG Wannian(Vanke School of Public Health,Tsinghua University,Beijing 100084,China;Institute for Healthy China,Tsinghua University,Beijing 100084,China)

机构地区：[1]清华大学万科公共卫生与健康学院,北京市100084 [2]清华大学健康中国研究院,北京市100084

出　　处：《中国全科医学》2024年第19期2301-2304,共4页Chinese General Practice

摘　　要：建设中国特色优质高效的、以人为本的整合型卫生健康服务体系,是落实健康中国战略的重要抓手,是推动卫生健康事业高质量发展的必然要求。本文指出,以人为本的整合型卫生健康服务体系必须是以健康为中心,急慢分诊、上下联动、防治结合,公立医疗卫生机构和社会力量办医协同发展。构建以人为本的整合型卫生健康服务体系,要实现服务体系、服务理念、服务决策、医患关系、服务模式、支付机制、监管考核7个方面的转变,关键在于推动医疗卫生体系和公共卫生服务体系的强化、延伸和融合。本文强调了管理体制改革与充分利用信息化手段的重要性,并指出以人为本的整合型卫生健康服务体系的本质目的是尽力满足老百姓全方位的健康需求,建立合理有序的就医格局,最终使健康中国建设有强大的卫生健康系统做支撑。Building a high-quality and efficient people centered integrated care system with Chinese characteristics crucial for implementing the Healthy China strategy and essential for the high-quality development of the healthcare system.This article proposes that a people centered integrated care system should center on health,with efficient triage of urgent and non-urgent cases,linkage between different healthcare levels,and a synergy of prevention and treatment.The development of medical services requires collaboration between public medical and health institutions and societal forces.To construct such a system,transformation is necessary in seven key areas:service system,service concept,individual service decision-making,doctor-patient relationship,service mode,payment mechanism,and regulatory assessment.The key is to promote the strengthening,extension,and integration of the healthcare system and public health service system.This article highlights the importance of management system reform and the full use of information technology,stating that the core aim of building a peo-ple centered integrated care system is to meet the comprehensive health needs of the population,establish a rational and orderly medical framework,and ultimately support the creation of a robust health system in China.

关 键 词：卫生服务管理 以人为本的整合型卫生服务 跨部门合作 社区卫生服务 卫生保健评价机制 家庭医疗保健服务 

分 类 号：R135[医药卫生—劳动卫生]