医疗卫生服务体系整合研究的回顾与展望

Review and Prospect of Integrated Medical and Health Service System

目的:基于我国医疗卫生服务体系存在着结构不合理、碎片化、资源不足等状况,对医疗卫生服务体系整合研究展开文献综述。方法:全面梳理现有的相关文献,对其进行整理与分析。结果:当前学界主要从医疗卫生服务体系整合的要素及整合模式展开探索,缺乏对整合过程中各利益主体之间的责权关系及整合后的效果进行评价与分析。结论:未来可以从整合背景下的患者双向转诊实施情况;整合过程中的各利益主体间责权关系;"互联网+"背景下医疗卫生服务体系整合优化等方面深入研究。

Objective： Based on the unreasonable structure, fragmentization and insufficient resources of medical and health ser- vice system in China, the literature review was conducted on the analysis of integrated medical and health service system. Methods： It sorted out and analyzed the existing related literature in the academic field. Results： The integrated health system was developed by their elements and methods, which lacked the evaluation and analysis on the responsibility among different stake hohters and ef- fects after the integration. Conclusion： Further research should be developed into the implementation of＇ dual referral based on inte- grated health system; the responsibility relationship among different stakeholders in the integration progress, the integration and optimi- zation＇ of medical and health service system under the background of ＂Internet＋＂ , etc.