| 摘要: |
| 在健康中国背景下，协同医疗服务体系是以“社区健康”为目的、以“分工合作”为手段、以“成本管理”为中心的协同型医疗服务系统，区别于传统的以“医疗服务”为目的、以“竞争瓜分”为手段，以“业务流水”为中心的竞争型医疗服务体系。构建协同医疗服务体系，必须以医疗机构绩效考核为“指挥棒”，以医疗保险付费为“控制器”，以成本核算为“监视器”，以医疗服务价格调整为“调节器”，使医疗服务体系的需方、供方和第三方都受益，共建共享健康社区。分级诊疗是区域协同医疗的现象或手段，是协同医疗服务体系下医疗资源优化配置的结果，构建协同医疗服务体系是医药卫生体制改革的本质需求。 |
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| DOI： |
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| 基金项目: |
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| The analysis of mechanism of constructing integrated medical system |
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| Abstract: |
| In the context of Health China, integrate medical system based on the purpose of ‘health community’, the method of ‘division and cooperation’, the core of ‘cost management’, were different from the typical competitive medical system, which based on the purpose of ‘medical service’, the method of ‘competition and split’, the core of ‘business of water’. To establish the integrated medical system, the authorities should use the medical performance assessment as the baton, medical insurance pay way as the controller, cost accounting as the monitor, medical service price as the adjuster, balance the interest of demander, supplier and the third side, building and sharing the healthy community together. Hierarchical diagnosis and treatment is the phenomenon or the method of realizing integrated medical system, the result of optimizing health resource, the essence of health system reform is to build the integrated medical system |
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