摘要
创新医防融合机制是完善医疗卫生服务体系,推进健康中国建设的重要抓手。针对当前医防相对割裂的现状,健康中国研究网络通过汇集专家智慧,以医防融合的内涵、理念、体系、制度为基本框架提出“创新医防融合共筑健康中国”专家共识。本共识指出,创新医防融合是以贯彻预防为主的新时代党的卫生与健康工作方针为指引,以促进治疗和预防服务的有效协同为抓手,实现健康促进、预防、治疗、康复护理、临终关怀等全链条服务的有机衔接,构建覆盖全人群、全生命周期的一体化健康服务模式。创新医防融合在理念上应从单向的干预或治疗向综合式的健康管理转变,从供方决策向需方共同参与式决策转变,从短暂的医患关系向连续长期的责任制关系转变;在体系上应加强医疗服务体系和公共卫生服务体系协同,加强医疗服务机构和公共卫生服务机构协作;在治理上应构建多元主体参与的共建共治共享格局与工作机制;在制度上应优化医防融合考核评价、筹资支付、薪酬绩效、人才培养使用制度,同时加快医防融合智慧赋能与宣传引导,推进医防人员通、资源通、信息通,打破医防分离,实现医防融合,为人民群众提供全方位、全周期的健康服务。
The innovative integration of treatment and prevention is pivotal for enhancing the healthcare system and advancing Healthy China.Guided by a focus on preventive health policies,it fosters collaboration between treatment and preventive services,ensuring seamless linkage across health promotion,prevention,treatment,rehabilitation,and end-of-life care.Conceptually,this shift involves transitioning from unidirectional intervention to comprehensive health management,from provider-driven to participatory decision-making,and from transient doctor-patient relationships to sustained accountability relationships.Structurally,it emphasizes coordination between medical and public health systems,collaboration among healthcare institutions,and multi-stakeholder governance.Institutionally,it optimizes evaluation,financing,remuneration,and talent development systems while leveraging intelligent means for integration and promoting interoperability across personnel,resources,and information.
作者
无
梁万年
无;LIANG Wannian(Expert Group of the Healthy China Research Network;不详)
出处
《中国全科医学》
CAS
北大核心
2024年第22期2685-2688,共4页
Chinese General Practice
关键词
医防融合
医防协同
健康中国
卫生服务研究
专家共识
Treatment and prevention integration
Treatment and prevention coordination
Healthy China
Health services research
Expert consensus
作者简介
通信作者:梁万年,教授,E-mail:liangwn@tsinghua.edu.cn,https://orcid.org/0000-0003-1764-5502。
