我国医联体的功能定位与发展趋势——以罗湖医疗集团为例
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摘要
本文总结了我国医联体的发展趋势与功能定位,梳理了深圳罗湖区医疗集团的发展历程及特点。在此基础上,提出我国医联体的功能定位——以健康为中心。为实现这一目标,应改革医保支付方式,开展健康干预;健全以健康为导向的绩效薪酬制度改革;开展医联体内部核算或有偿服务。
This paper summarizes the development trend and functional orientation of China's medical associations, and sorts out the development history and characteristics of Shenzhen Luohu District medical group. On this basis, the functional orientation of China's medical association is proposed-taking health as the center. In order to achieve this goal, medical insurance payment methods should be reformed, and health interventions should be carried out; health-oriented performance compensation system reform should be improved; and internal medical accounting or paid services should be carried out.
This paper summarizes the development trend and functional orientation of China's medical associations, and sorts out the development history and characteristics of Shenzhen Luohu District medical group. On this basis, the functional orientation of China's medical association is proposed-taking health as the center. In order to achieve this goal, medical insurance payment methods should be reformed, and health interventions should be carried out; health-oriented performance compensation system reform should be improved; and internal medical accounting or paid services should be carried out.
引文
[1]孙自学,龙俊睿,段光锋,等.我国医疗联合体发展的动态分析[J].中国医院管理,2016,36(10):1-4.
[2]张彦生,王虎峰,刘宪伟,等.自发型医疗联合体运行机制研究——以大连医科大学附属第二医院医疗联盟为例[J].中国医院管理,2018,38(1):17-21.
[3]卫生部部长陈竺:医改下一步重点是建立“医联体”[EB/OL].http://www.xinhuanet.com/2013lh/2013-03/06/c_124420451.htm.
[4]中央人民政府.政府工作报告[EB/OL].http://www.gov.cn/premier/2017-03/16/content_5177940.htm.
[5]中央人民政府.国务院办公厅关于推进医疗联合体建设和发展的指导意见[EB/OL].http://www.gov.cn/zhengce/content/2017-04/26/content_5189071.htm.
[6]刘海兰,何胜红,陈德生,等.深圳市罗湖区医改的经验及启示[J].医学与哲学(A),2018,39(3):74-77.
[7]国家卫健委.关于城市公立医院综合改革试点的指导意见[EB/OL].http://www.xinhuanet.com/2013lh/2013-03/06/c_124420451.htm.
[8]深圳市卫计委.深圳市深化公立医院综合改革实施方案的通知[EB/OL].http://www.szhfpc.gov.cn/wjtz/201508/t20150806_3146464.htm.
[9]孙喜琢,宫芳芳.深圳市罗湖区医疗卫生服务体系改革实践与研究[J].中国医院,2017,21(11):1-3,8.
[10]冯庆.罗湖医院集团挂牌成立[N].深圳特区报,2015-08-21(A05).
[2]张彦生,王虎峰,刘宪伟,等.自发型医疗联合体运行机制研究——以大连医科大学附属第二医院医疗联盟为例[J].中国医院管理,2018,38(1):17-21.
[3]卫生部部长陈竺:医改下一步重点是建立“医联体”[EB/OL].http://www.xinhuanet.com/2013lh/2013-03/06/c_124420451.htm.
[4]中央人民政府.政府工作报告[EB/OL].http://www.gov.cn/premier/2017-03/16/content_5177940.htm.
[5]中央人民政府.国务院办公厅关于推进医疗联合体建设和发展的指导意见[EB/OL].http://www.gov.cn/zhengce/content/2017-04/26/content_5189071.htm.
[6]刘海兰,何胜红,陈德生,等.深圳市罗湖区医改的经验及启示[J].医学与哲学(A),2018,39(3):74-77.
[7]国家卫健委.关于城市公立医院综合改革试点的指导意见[EB/OL].http://www.xinhuanet.com/2013lh/2013-03/06/c_124420451.htm.
[8]深圳市卫计委.深圳市深化公立医院综合改革实施方案的通知[EB/OL].http://www.szhfpc.gov.cn/wjtz/201508/t20150806_3146464.htm.
[9]孙喜琢,宫芳芳.深圳市罗湖区医疗卫生服务体系改革实践与研究[J].中国医院,2017,21(11):1-3,8.
[10]冯庆.罗湖医院集团挂牌成立[N].深圳特区报,2015-08-21(A05).