摘要
合理的分级诊疗一是要建立患者与医生之间的稳定关系,二是不同类别医疗服务之间的合作与衔接。当前出现"非"分级诊疗的制度性根源在于用行政化的资源配置方式应对已经多样化、市场化的医疗服务需求。以行政化的"分级"追求患者就医的"分流"不具可行性,且会带来进一步的扭曲。建立合理的分级诊疗,首先需要政策思路上的转变,不是去"安排"患者,而是改革供方,建立"患者中心"的医疗服务体系。建立在医生自由执业基础上的社区家庭医生制度是实现合理的分级诊疗的"抓手"。
There are two measures needed in the system of graded health care, i.e., establishing relatively stable relationship between patients and doctors, and establishing cooperation and integration among different kinds of health care. The sources of problem in non-graded health care currently in China is the mismatching between diversified and marketized health care demands and the government-deciding medical resources allocation. It is impossible to use governmental ＆quot;Grading＆quot; to achieve the goal of ＆quot;dispersing patients＆quot;, otherwise, it brings about more problems. To establish rational graded medical care system, it should firstly change the policy framework, reform the system of health care providers instead of arranging the choice for patients, and establish a patient-orientated health care system. The feasible approach to realize the system of graded health care currently is to establish a community family doctor system based on their private practices.
出处
《中国医疗保险》
2015年第10期15-17,共3页
China Health Insurance
基金
国家社科基金项目<医保付费机制创新与公立医院改革研究>(14BGL145)的阶段性成果
关键词
分级诊疗
患者中心
自由执业
社区家庭医生
graded health care
patient-centered
private practice
community family doctor
