整合型医疗服务系统构建研究

Research on the construction of integrated medical service system

开展服务整合成为矫正医疗系统服务提供碎片化的最佳演进策略,但现实整合型医疗服务系统的构建却没有一个完整的思路。本文基于整合型医疗服务系统的目标,结合服务整合的理论基础,从要素、机制方面提出了整合型医疗服务系统的构建框架。它确立了在"以病人为中心"、以提高服务协调性和连续性的"无缝服务"系统使命下,通过系统要素优化与系统机制的耦合实现医疗系统的整体功能,集中于满足病人的理性就医需求,并通过现实案例进行佐证,从理论、过程和实践三个方面构建一个完整的、精细化的、动态的服务连续体,为重塑医疗服务系统提供了一个新的管理模式。

Service integration has been regard as the best evolutionary strategy to rectify the fragmentation of corrective services in the medical system. However, there is no whole idea about the construction of a practical integrated medical service system.Based on integrated medical service system objective, this paper puts forward an integrated medical service system construction framework which embodies the elements and mechanism to be adopted in combination with the theoretical service integration basics.Under the “seamless service” mission of patient-centered service provision and improvement of the coordination and continuity of service system, the overall function of the service system is implemented focusing on meeting patients basic needs through the system elements optimization and the coupling ofits mechanism. Considering the real integrated medical service system case,this paper builds a complete, refined and dynamic continuum of service from theoretical, process-oriented and practical way forwardso as toprovide a new management mode for reshaping the medical system.