北京社区健康管理服务的现状和发展对策研究

Analysis on Community Health Service Providing and Suggestions for Development in Beijing City

目的分析目前北京社区健康管理服务的提供主体和服务方式,为社区健康服务的可持续发展提出对策建议。方法收集北京社区健康管理服务的资源配置和服务提供资料,结合文献和专家咨询了解不同健康管理主体的服务提供模式。结果社区卫生服务机构仍是目前健康服务的提供主体,目前又出现了多种健康管理主体和服务方式,包括保险公司与社区卫生服务机构合作提供的健康管理服务、以体检中心为基础的健康管理模式、会员制方式的健康资产管理模式,以及医疗器械、IT公司提供的健康管理服务。结论北京社区健康管理服务的发展需要强化社区卫生服务机构的功能,以医院为支撑,鼓励第三方健康管理公司与社会医疗保险合作,以及医疗器械、IT公司等多元主体参与,围绕人群需求,提供多元化、立体化的健康管理服务。

Objectives To identify providers of Beijing community health service and the list of services provided. Based on that, strategies are advised for f sustainable development. Methods To collect resource allocation and service provision documentations of Beijing community healthcare and conduct expert consultation exercise after- wards in order to summarize various health services provided in Beijing＇s communities. Results Community health- care centers （CHCs） were main service providers in Beijing. However other stakeholders had begun to get involved in community healthcare provision. For example, health insurance companies worked with CHCs to provide health- care services. Health check companies provided community healthcare services based on their business model. High end membership healthcare management service occurred. Besides, medical instruments companies and IT compa- nies provided healthcare service in community as well. Conclusions Beijing CHCs＂ role needs to be strengthened and needs support from hospitals in Beijing while encouraging third party＇s cooperation with social medical insurance scheme in Beijing. Medical instrument companies, IT companies and others can diversify the services provision to suit different groups＇ needs.