摘要
2022年,英国国家医疗服务体系(NHS)经历了一次改革,建立了42个综合护理系统(ICS),取代此前211个临床医疗服务委托委员会(CCG),这是2012年以来NHS首次大规模的组织架构改革。ICS相比于CCG而言,融入了更加丰富的社会护理服务,注重发挥区域内的规模化效益,并致力于构建人群健康管理体系。这个改革对中国的医疗资源整合有两点启示,一是鼓励基层医疗卫生机构开展线上诊疗,二是促进开展家庭医生签约服务。
In 2022,the National Health Service(NHS)in UK underwent a new reform that established 42 Integrated Care Systems(ICS)to replace the previous 211 Clinical Commissioning Groups(CCG),which was the first large-scale organizational reform of the NHS since 2012.Compared to CCG,ICS incorporate a richer range of social care services,focus on leveraging economies of scale within the region,and is committed to building a population health management system.There are two implications for the integration of healthcare resources in China:one is to broaden online diagnosis and treatment in primary healthcare institutions,and the other is to promote family doctor contracting services.
作者
周文
ZHOU Wen(Faculty of Applied Economics,University of Chinese Academy of Social Sciences,Beijing 102488,China)
基金
国家社会科学基金重大项目“中国社会保障体系建设与扎实推进共同富裕”(21STA002)。