摘要
利用世界银行提出的卫生政策分析“控制柄”(包括筹资、支付、组织、规制和行为)为基本框架,在阐述家庭医生签约服务本质和定位的前提下,提出家庭医生签约服务的制度架构(1个契约,3项制度,5个关键,7项支撑),并以此为指导进行浙江省家庭医生签约服务的实践探索,进一步落实分级诊疗制度。
The " control handles" ( including financing, provider payment, organization, regulation and behavior) proposed by World Bank in health policy research as the basic framework,and the nature and positioning of family doctors' contract-based service as the precondition, we recommended the system framework of such a mechanism, comprising one contract, three regulations, five control handles and seven supporting policies. Such a framework can serve as the cornerstone for family doctors' contract-based service experiment in Zhejiang province for the sake of hierarchical medical system.
作者
濮小英
顾亚明
胡玲
吴燕萍
项跃丹
沈清
王妮妮
Pu Xiaoying Gu Yarning Hu Ling Wu Yanping Xiang Yuedan Shen Qing Wang Nini(School of Medicine, Hangzhou Normal University ,Hangzhou 310036, China)
出处
《中华医院管理杂志》
CSCD
北大核心
2017年第2期135-138,共4页
Chinese Journal of Hospital Administration
关键词
浙江省
家庭医生
签约
制度框架
控制柄
Zhejiang province
Family doctors
Contract
System framework
Control handles