基层医疗实现价值导向型医疗的路径探讨
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摘要
高价值医疗逐渐成为各国健康产业的核心竞争力,当前我国要实现价值导向型医疗体系的转型在诸多驱动要素上仍存在障碍。将价值导向型医疗框架体系与基层医疗实践相结合,从构建价值衡量体系、开展基于价值的购买、提升基层医疗价值和有效利用医疗大数据等方面进行探究,对打通基层实现价值导向型医疗的重要关节,为价值导向型医疗落地我国提供参考具有重要意义。
High-value medical care had gradually become the core competitiveness of health industry in various countries. At present, there were still obstacles in many driving factors to realize the transformation of value-based healthcare system in China. It combined the framework of value-based healthcare with the practice of primary care, and tried to discuss the construction of value measurement system, value-based purchase, promotion the value of primary care, and effective use of medical data, which had great significance to open up the important joints of realizing value-based healthcare at primary care, eventually make value-based healthcare become a reality.
High-value medical care had gradually become the core competitiveness of health industry in various countries. At present, there were still obstacles in many driving factors to realize the transformation of value-based healthcare system in China. It combined the framework of value-based healthcare with the practice of primary care, and tried to discuss the construction of value measurement system, value-based purchase, promotion the value of primary care, and effective use of medical data, which had great significance to open up the important joints of realizing value-based healthcare at primary care, eventually make value-based healthcare become a reality.
引文
[1]苏淑文,王冬.价值导向型医疗研究进展及其启示[J].中国卫生经济,2018,37(5):71-74.
[2]李浏清.开展价值评估购买医疗服务讲“性价比”[N].中国劳动保障报,2017-09-15(003).
[3]ROSENBAUM L.The whole ball game-overcoming the blind spots in health care reform[J].N Engl j med,2013,368(10):959-962.
[4]克里斯托弗·莫里亚茨,维尼特·阿罗拉,尼尔·沙阿.以价值为导向的医疗服务[M].杨莉,译.北京:北京大学医学出版社,2018.
[5]FUCHS V R.The doctor’s dilemma-what is“appropriate”care?[J].N Engl j med,2011,365(7):585-587
[6]PORTER M E.What is value in health care?[J].N Engl j med,2010,363(26):2477-2481.
[7]健康报.价值医疗呼唤整合式服务[N].健康报,2018-12-03(005).
[8]周吉芳.“价值医疗”落地中国的障碍[N].医药经济报,2018-01-25(F03).
[9]陈梦桑.基于价值医学的医疗模式转型探索[J].发展改革理论与实践,2018(1):23-26.
[10]贺昊.价值医疗:从开放式到精耕细作式[N].医药经济报,2016-08-03(007).
[11]褚福灵.建立基于价值导向的医保支付制度[J].中国医疗保险,2017(11):34-35.
[12]马建根,沈黎明.德清:医保流向和技术提升是导向[J].中国卫生,2018(12):58-59.
[2]李浏清.开展价值评估购买医疗服务讲“性价比”[N].中国劳动保障报,2017-09-15(003).
[3]ROSENBAUM L.The whole ball game-overcoming the blind spots in health care reform[J].N Engl j med,2013,368(10):959-962.
[4]克里斯托弗·莫里亚茨,维尼特·阿罗拉,尼尔·沙阿.以价值为导向的医疗服务[M].杨莉,译.北京:北京大学医学出版社,2018.
[5]FUCHS V R.The doctor’s dilemma-what is“appropriate”care?[J].N Engl j med,2011,365(7):585-587
[6]PORTER M E.What is value in health care?[J].N Engl j med,2010,363(26):2477-2481.
[7]健康报.价值医疗呼唤整合式服务[N].健康报,2018-12-03(005).
[8]周吉芳.“价值医疗”落地中国的障碍[N].医药经济报,2018-01-25(F03).
[9]陈梦桑.基于价值医学的医疗模式转型探索[J].发展改革理论与实践,2018(1):23-26.
[10]贺昊.价值医疗:从开放式到精耕细作式[N].医药经济报,2016-08-03(007).
[11]褚福灵.建立基于价值导向的医保支付制度[J].中国医疗保险,2017(11):34-35.
[12]马建根,沈黎明.德清:医保流向和技术提升是导向[J].中国卫生,2018(12):58-59.