| 基层整合型医疗服务的国际经验和中国实践 |
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| 引用本文： | 张亚琳,廖晓阳,赵茜,雷弋,李志超,唐以俊,李妮. 基层整合型医疗服务的国际经验和中国实践[J]. 中华全科医学, 2021, 19(6): 887-891. DOI: 10.16766/j.cnki.issn.1674-4152.001942 |
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| 作者姓名： | 张亚琳 廖晓阳 赵茜 雷弋 李志超 唐以俊 李妮 |
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| 作者单位： | 1.四川大学华西医院特需医疗中心·全科医学病房，四川 成都 610041 |
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| 基金项目： | 四川省科学计划项目2020JDR0119四川省科学计划项目2020JDR0126成都市科技项目2020-RK00-00142-ZF成都市科技项目2019-RK00-00221-ZF成都市医学科研课题项目2019037成都市医学科研课题项目2020010 |
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| 摘 要： | 随着全球人口老龄化进程的加速、慢性病井喷式的爆发,居民对医疗卫生服务的需求不断增加,医疗卫生服务的"碎片化"问题日益突出,为此,整合型医疗服务成为21世纪医疗卫生改革的世界性趋势.全球多个国家和地区先后开展了不同形式和内容的探索.我国基层整合型医疗服务起步晚,发展迅速,但也尚面临一些问题.本文将从体系层面、机构层面、专...
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| 关 键 词： | 国际经验 整合 卫生服务 基层医疗 全科医生 |
| 收稿时间： | 2021-02-21 |
International experience and practice of integrated primary care in China |
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| Affiliation: | International Medical Center, General Practice Unit, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China |
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| Abstract: | With the acceleration of the global aging process and the outbreak of chronic diseases, the demand for health services is increasing, and the "fragmentation" of health services is becoming increasingly prominent. Therefore, integrated health service has become a worldwide trend of health system reform in the 21st century. Many countries and regions have carried out different forms and contents of exploration. Integrated primary care started late and developed rapidly in China, but it still faces some problems. From system level, organizational level, professional level, clinical level, this review analyze the current situation of integrated primary care in China, summarize and draw lessons from typical experience of Kaiser permanente, National Health Service, German Black Forest model. Based on the comparison of international experience, we examine the current situation and sort out China's main problems of integrated primary care in China. Problems include six aspects: policy formulation, standard implementation, inter agency coordination, inter professional cooperation, information construction and comprehensive evaluation. At the same time, we analyze the new trend of integrated primary care: the establishment and improvement of the integration mechanism, the construction of the gridded medical alliance and the specialty-general practice collaboration are the new trends of integrated primary care in China. It is necessary for China to shift service centers from tertiary hospital to primary care, and shift the focus of service from "organizational integration" to "clinical integration". In the future, we should promote and improve policy support, inter agency cooperation, inter professional cooperation mechanism and information integration technology to develop integrated primary care in China. |
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