摘要
通过梳理我国医疗联合体(以下简称医联体)建设的相关政策文件,调研我国医联体建设情况,总结当前医联体的概念范畴。选取典型案例,从资源供应、卫生服务、筹资支付和政策监管方面对城市医疗集团、医疗共同体、专科联盟和远程医疗协作网4种主要组织形式开展对比分析。针对健康服务缺失、利益相关者权责不明、复合医保支付方式普及率不高且缺乏有效激励、互联网诊疗服务机制尚需完善等不足,从框架完善、机制优化等方面提出推进医联体发展的建议。
By means of analysis of related national policies on medical alliances,and investigation of their current development in China,the authors summarized the conceptual category of existing medical alliances.Typical cases were selected for comparative analysis in terms of urban medical groups,medical communities,specialized alliances and telemedicine collaboration networks.In view of such setbacks found as lack of health services,ambiguity of power and duties of stakeholders,and low penetration rate of composite medical insurance payment,as well as lack of effective incentives and poor online diagnosis and treatment mechanism,the authors recommended on development of medical alliances in respect of framework improvement and mechanism optimization among others.
作者
张芳源
张小娟
陆春吉
栗佳
李亚子
Zhang Fangyuan;Zhang Xiaojuan;Lu Chunji;Li Jia;Li Yazi(Health and Medical Insurance Research Center,Institute of Medical Information Chinese Academy of Medical Sciences,Beijing 100020,China;Shijiazhuang Municipal Medical Insurance Bureau,Shijiazhuang 050000,China)
出处
《中华医院管理杂志》
CSCD
北大核心
2021年第5期353-357,共5页
Chinese Journal of Hospital Administration
基金
国家自然科学基金(71573276)。
关键词
医疗联合体
典型案例
资源供应
卫生服务
筹资支付
政策监管
Medical alliance
Typical case
Resource supply
Health service
Financing and payments
Policy supervision
