以人为本的整合型卫生服务在荷兰的实践及其对我国的启示

Practice of People-centered Integrated Health Services in the Netherlands and Its Enlightment to China

人口老龄化和慢性非传染性疾病负担给我国卫生体系带来巨大压力。构建以人为本的整合型卫生服务(PCIHC)是减少卫生服务体系碎片化、提高医疗服务质量的有效途径。本文在阐述PCIHC内涵的基础上,以荷兰糖尿病服务项目为例,介绍了整合型卫生服务在慢性病管理中的实践。并提出我国的PCIHC构建路径,即基层首诊与双向转诊制度、构建多学科团队、统一临床路径及加快支付方式改革。

The aging of population and burden of chronic non - communicable disease has brought great pressure to the health system in China. The construction of a people - centered integrated health - care service （ PCIHC ） is an effective way to reduce the fragmentation of health service system and improve the quality of medical service. Taking diabetes services in Dutch as an example, the paper elaborates the connotation of PCIHC, and introduces the practice of integrated health service in chronic disease management. The paper puts forward the construction path of PCIHC in our country, that is, the initial diagnosis and dual referral system in primary care, construction of multidiscip]inary team, unification of clinical path and acceleration of payment reform.