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分级诊疗制度下医疗机构联动性改革研究 被引量:4

Study on the linkage reform of medical institutions based on grading system
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摘要 分级诊疗在实施过程中医疗机构间的联动性较差,表现为上下级转诊医院因利益原因不愿转出病人,医院间信息化建设不足使检查与病史等资源无法共享互通,转诊医院存在药品和设备上的差异等,这些因素均阻碍了分级诊疗制度的实施。文章从医保管理部门、医疗机构、政府角度提出了应当严格规范分级与转诊制度,规范药品目录,拉开上下级医院的医保报销比例,建设信息化医疗资源共享平台和医联体建设,加强医疗机构及各部门间的联动性改革,协助推行分级诊疗制度。 Poor linkage grading treatment in the implementation process of medical institutions, referral hospitals benefit reasons to turn out patients at the hospital information construction is weak so that resources can not be shared between history, differences in referral hospital medicines and equipment on the other factors hindered the implementation of grading treatment system. This article from the medical insurance management departments, hospitals, government angle were put forward, should strictly regulate the classification and referral system, standardize the drug directory, opened the subordinate hospital medical insurance reimbursement, the construction of "Internet +" mode of medical resources and medical conjoined information platform construction, strengthen the linkage reform of medical institutions and between various departments and assist in the implementation of grading treatment.
作者 高鹏 范君晖
出处 《江苏科技信息》 2017年第34期29-31,共3页 Jiangsu Science and Technology Information
关键词 分级诊疗 医疗机构 医保部门 政府 联动性改革 hierarchical diagnosis and treatment medical institutions medical insurance departments government linkage reform
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  • 1黄柏强.我国基本药物制度推进中的问题与对策[D].长春:东北师范大学,2012.
  • 2WHO. Integrated health services= What and why? [R/OL]. [2015-02-25]. http://www, who. int/heahhsystems/technical _brief final, pdf.
  • 3King G, Meyer K. Service integration and co-ordination: a framework of approaches for the delivery of coordinated care to children with disabilities and their families[J]. Child: Care, Health Development, 2006, 32(4) 477-492.
  • 4Palsbo SE,Mastal MF, O' Donnell LT. Disability care coordi- nation organizations= improving health and function in people with disabilities[J]. Professional Case Management, 2006, 11 (5) : 255-264.
  • 5Rosenthal IMP, Butterfoss FD, Doctor LJ, et aL The coalition process at work: building care coordination models to control chronic disease [J]. Health Promotion Practice, 2006, 7 (2 Suppl) : 117S-126S.
  • 6Leatt P. Integrated service delivery[R]. Ottawa: Health Cana da, 2002.
  • 7Surer E, Oelke ND, Adair CE, et al. Ten key principles for suc- cessful health systems integration[J]. Heahhcare Quarterly, 2009, 13(10): 16-23.
  • 8Kodner D, Spreeuwenberg C. Integrated care: meaning, logic, applications, and implicat ions: a discussion paper (]]. Interna- tional Journal of Integrated Care, 2002, 2(3): 1-6.
  • 9Leutz WN. Five laws for integrating medical and social serv- ices:lessons from the United States and the United Kingdom [J]. The Milbank Quarterly, 1999, 77(1): 77-110.
  • 10Nies H. Integrated care: concepts and background[M]//Nies H, Berm P. Integrating services for older people: a resource book for managers. Dublin:European Health Management As- sociation, 2004.

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