摘要
分级诊疗作为深化医药卫生体制改革的重要举措,是实现有序就医的基础。基于结构—过程视角,从结构性约束、行为主体利益关联、社会互动、历时动态变化等方面分析我国分级诊疗中存在的医疗资源缺乏整合、医疗机构间缺乏良性互动、医保支付制度不完善及医患间互动运行偏差等问题,并从结构和过程两方面提出加强分级诊疗体系建设和完善运行机制的建议,在保障病人利益的前提下引导有序就医,促进分级诊疗的顺利实施。
Hierarchical diagnosis and treatment,an important deepening reform of the medical and health system in China,is the foundation of orderly medical service. The problems of the hierarchical diagnosis and treatment system lack of medical resources integration,shortage of positive interaction between medical institutions,imperfection in health care payment system and deviation of interaction between patients and physicians were investigated according to the structures and process from the aspects of structural constraints,different interests among stakeholders,social interaction and diachronic dynamic change. Then the proposals to strengthen construction and improve running system of the hierarchical diagnosis and treatment were put forward in order to promote the implementation of the hierarchical diagnosis and treatment.
出处
《中国医院管理》
北大核心
2016年第4期8-10,共3页
Chinese Hospital Management
基金
贵州省卫生和计划生育委员会科学技术基金项目(gz-wjkj2014-2-171)
贵州省卫生和计划生育委员会委托课题(gzwjw-yzc2015-01)
遵义医学院研究生社会实践项目(zy-yjs2015007)
关键词
医疗机构
分级诊疗
结构—过程分析
资源整合
medical institution
hierarchical diagnosis and treatment
structures and process analysis
resources integration
