需方视角下整合型医疗服务体系的服务环节和愿景

The Service Link and Vision of the Integrated Healthcare System from the Demand Side Perspective

整合型医疗服务对需方而言,从“解决健康问题”变为“减少问题发生”,是降低交易成本的中间性服务和性价比更高的医疗服务。本文以居民的病前、病中和病后为主轴,院前、院中和院后节点为服务环节主线,从需方的角度阐述以“健康决定因素”为抓手的整合型医疗服务体系在不同时点应该为居民提供的健康服务及其激励机制。

For the demand side,the integrated healthcare has changed from"solving health problems"to"reducing the occurrence of problems".It is an intermediate service to reduce transaction costs and a more cost-effective healthcare.This paper takes the residents'pre-illness,mid-illness and post-illness as the main axis,and the pre-hospital,in-hospital and post-hospital nodes as the main line of service links.From the demand-side perspective,the integrated healthcare system with"health determinants"should provide residents with health services and incentive mechanisms at different points in time.