整合型医疗卫生服务体系中城市公立医院定位与服务革新

Mission and service innovation of urban public hospitals in line with the integrated health care delivery system

回顾了国内外整合型医疗服务体系状况，结合浙江省近年来促进医疗服务机构业务协作的经验，提出了城市公立医院在整合型区域医疗服务体系中的战略定位、责任及服务革新。认为构建整合型医疗服务体系是未来我国医疗卫生改革的主导方向，城市公立医院在促进形成整合型医疗服务体系过程中应扮演积极的角色，通过自身内部的资源整合，在区域医疗服务体系中提供多层次、多样化的服务，促进医疗服务体系的重组。

The authors reviewed the practice of integrated health care delivery system （IDS）at home and abroad, and based on experiences of collaborations between medical service institutions in Zhejiang province,proposed the strategic positioning, responsibilities and service innovation of urban public hospitals in a regional medical service system. It is held that the direction of China＇s health care reform should move towards IDS in the future, and such hospitals should play an active role in the process via integration of its own resource and provide multi-level, diversified services for the regional health care system.