健康管理的现状与发展策略

The Current Situation and Development of Health Management in China

本文以文献研究为基础,通过选取江苏、浙江、上海三地有代表性的社区卫生服务中心、企业、健康保险公司以及健康管理服务机构共17家单位开展了调研,结果发现我国在开展健康管理过程中存在一些问题,如社区卫生服务中心无论在人员配备上还是服务内容上都与有效的健康管理服务存在差距;企业具有开展健康管理的意愿,外资企业与大型国企都已经开展了有益的尝试并取得了不错的效果,国内中小型企业、公司缺乏独立开展职工健康管理的能力;健康保险公司由于缺乏盈利模式大多不愿意开展健康险服务,健康管理多作为附加选项服务于高端客户;健康管理服务公司的业务以体检为主,大多并没有开展真正意义上的健康管理。针对这些问题课题组提出了八个相关的政策建议及相应的对策。

Based on literature research, we selected a total of 17 typical organizations from Jiangsu, Zhejiang, and Shanghai to inves- tigate, including community health service centers, enterprises, health insurance companies, and health management service compa- nies. The results of this study indicate that China has some problems in current health management, for example, community health service centers lack sufficient capacity in terms of personnel allocation and service content to carry out health management services; foreign-funded enterprises and large state-owned enterprises have carried out health management services with good results, but small- and medium-sized enterprises in China lack the independent ability to carry out health management services for their staff; health insurance companies are reluctant to carry out health insurance services because of the deficiency in profit models, while health man- agement is often provided for high-end customers as an additional option; and health management service companies do not provide real health management services, but only physical examinations. Based on these problems in this study, we put forward a total of eight related policy recommendations and some countermeasures.