我国公立医院过度医疗问题形成机制研究

Analysis on Mechanism of Over-diagnosis and Over-treatment Problem Formation in Public Hospitals of China

以卫生系统改革五个抓手模型和高价值政策制定程序为理论基础,对我国公立医院基本医疗服务利用过程中的过度医疗问题进行界定,以过度医疗问题的内外部环境为诊断框架,系统搜集导致过度医疗问题的原因,区分判断根源、直接和间接影响因素,并在此基础上明确问题形成机制,为政策研制提供思路。

According tO the theoretical basis of using 5 gripper models of health system reform and high-value policy designing process, to define the over-dlagnosis and over-treatment in the process of basic health care utilization in public hospitals of China, basing on the diagnostic framework of the internal and external environment, to explore the causes herein and discriminate the root, direct and intermediate factors that lead to the problem systematically, and identify the formation mechanism of the problem.