摘要
整合的医疗服务系统具有整合的结构要素及其运行机制。基于结构-过程的分析视角,目前我国农村医疗服务纵向整合存在结构性约束偏弱、行为主体利益不同、整合机制难以耦合以及外在环境支撑不足等问题,无法促进有效的社会互动,导致农村医疗服务系统整合程度不高。因此,必须从系统结构要素和运行机制两个方面对农村纵向医疗服务网络进行优化,并创造有利于整合的外在环境,以为农村居民提供更高程度的协调和连续性医疗服务。
Integrated medical service system had integrated structure elements and its operating mechanism. At present, the vertical integration of China rural health service has some problems in its structure and integration process, such as weak structural constraints, different interests between stakeholders, deviated integration mechanism and insufficient external support. All of these are obstacles for an effective social interaction and resulted in lower degree of integration in rural health service system. Therefore, this article proposed to optimize rural health service network from both aspects of structure and process mechanism, and create an external environment for effective integration, so as to provide coordinated and continuous medical services for rural residents.
出处
《医学与哲学（A）》
北大核心
2015年第7期66-68,72,共4页
Medicine & Philosophy:Humanistic & Social Medicine Edition
基金
教育部人文社会科学规划基金资助项目"西部农村医疗服务纵向整合机制与对策研究"
项目编号:13YJA630099
贵州省发展和改革委员会项目"基于医疗联合体可持续发展的医保政策支持研究"的成果
关键词
农村医疗服务
纵向整合
整合度
rural medical services, vertical integration, integrated degree
作者简介
魏来（1973-），男，安徽肥西人，博士，副教授，研究方向：卫生政策与管理、医疗保障制度。
通讯作者：张亮（1961-），男，河南信阳人，教授，博士生导师，研究方向：卫生政策、卫生服务质量与绩效、基本医疗保障。Email：zhangliang@mails．tjmu．com.cn
