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董佩, 王坤, 毛阿燕, 严晓玲, 杨玉洁, 孟月莉, 邱五七. 我国公共卫生与医疗服务融合现状及对策[J]. 中国公共卫生, 2020, 36(12): 1686-1689. DOI: 10.11847/zgggws1133336
引用本文: 董佩, 王坤, 毛阿燕, 严晓玲, 杨玉洁, 孟月莉, 邱五七. 我国公共卫生与医疗服务融合现状及对策[J]. 中国公共卫生, 2020, 36(12): 1686-1689. DOI: 10.11847/zgggws1133336
DONG Pei, WANG Kun, MAO A-yan, Yan Xiao-ling, Yang Yu-jie, Hu Guang-yu, Qiu Wu-qi. Current situation and countermeasures for integration of public health and medical services in China[J]. Chinese Journal of Public Health, 2020, 36(12): 1686-1689. DOI: 10.11847/zgggws1133336
Citation: DONG Pei, WANG Kun, MAO A-yan, Yan Xiao-ling, Yang Yu-jie, Hu Guang-yu, Qiu Wu-qi. Current situation and countermeasures for integration of public health and medical services in China[J]. Chinese Journal of Public Health, 2020, 36(12): 1686-1689. DOI: 10.11847/zgggws1133336

我国公共卫生与医疗服务融合现状及对策

Current situation and countermeasures for integration of public health and medical services in China

  • 摘要: 公共卫生服务与医疗服务融合(简称“防治融合”)是对我国卫生健康体系建设过程中“防治分离”问题的纠正。公共卫生服务与医疗服务体系是我国医疗卫生服务体系的重要组成部分,二者的有效融合和相互支持能更好地落实防治任务。本文从整合型医疗卫生服务模式、连续性服务提供的相关支持等角度对我国防治融合的发展现状和问题进行了梳理和分析,防治融合所面临的问题主要有:提供公共卫生服务的机构间缺乏合作,人才培养模式需调整,整合型医疗卫生服务体系筹资激励机制不足,家庭医生服务团队的服务能力受制约、服务积极性不高,信息化水平亟待提高。在此基础上提出了推动公共卫生服务与医疗服务有效融合的策略建议,明确机构职能及建立跨部门、跨区域管理协调机制,优化公共卫生人才培养模式,完善整合医疗卫生服务体系构建过程中的财政投入、医保支付、人事薪酬制度配套,做好人才队伍建设、提高人员待遇,加强顶层设计、搭建大数据共享平台等。

     

    Abstract: The integration of public health and medical services (the integration of prevention and treatment for short) was proposed to solve the problem of separated services of disease prevention and treatment in the construction of China′s health system. Public health service system and medical service system are important parts of health care service system and their effective integration and mutual support could contribute to the implementation of disease prevention and treatment task. In the study, we analyzed the current situation and problems in the development of service integration of disease prevention and treatment in China. The main problems of China′s service integration of disease prevention and treatment include: the lack of cooperation between institutions providing public health service, and lagging personnel training mode, insufficient mechanism of financing and motivation, restricted service capabilities, low service enthusiasm, lagging-behind public health information system. Regarding those problems above, the study puts forward some suggestions on promoting the integration of public health service and medical service, such as defining institutions′ functions by law, establishing coordinated mechanism of cross-department and cross-region administration, optimizing personnel training mode, improving supporting of financial investment, medical payment and salary system, constructing talent teams, increasing personal treatment, strengthening top--level design, and building shared mass data platform.

     

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