构建中国特色基本医疗卫生制度的“深圳模式”

Shenzhen model and experience of basic medical and health system with Chinese characteristics

深圳市坚持“将基本医疗卫生制度作为公共产品向全民提供”的理念,通过整体谋划基本医疗卫生服务的筹资、服务、监管闭环管理链条,坚持改革的整体性、系统性、协同性,以转变政府职能为抓手,以法治和标准为引领,以国际化为路径,构建科学治理、服务优化、管理精细的中国特色基本医疗卫生制度,全面提升基本医疗卫生服务的可及性、质量和效率,努力强化提高人民健康水平的制度保障。目前,以基层医疗集团为龙头的基层医疗卫生服务体系诊疗量占比达到79.5%,居民个人卫生支出占卫生总费用的比例降低至14.4%;2015—2019年,患者满意度门诊得分从78.0分提高到87.2分,住院得分从80.7分提高到89.3分;2019年,13项“健康中国2030”规划目标中深圳提前完成10项;2009—2019年,深圳市居民期望寿命从77.7岁提高到81.6岁岁,增长了3.9岁,实现了卫生服务可及、医疗费用可承担、满意度提高,居民健康状况达到世界发达国家和地区水平的目标。具有中国特色的基本医疗卫生制度-“深圳模式”得到国家和广东省的充分肯定和推广,受到世界卫生组织和国际顶尖医学杂志《柳叶刀》推介。

Adhering to the concept of"providing the basic medical and health system as a public product to the whole people",through the overall planning of the financing,service and supervision closed-loop management chain of basic medical and health services,adhering to the integrity,systematization and synergy of the reform,insisting on changing the functions of the government as the starting point,adhering to the rule of law and standards as the guide,adhering to the internationalization as the path,the basic medical and health system with Chinese characteristics with scientific governance,service optimization and fine management is basically formed in Shenzhen,and the accessibility,quality and efficiency of basic medical and health services are comprehensively improved,striving to strengthen the system guarantee to improve the people's health level.The proportion of diagnosis and treatment of the primary medical and health service system led by the primary medical group is 79.5%.The proportion of household health expenditure to total health expenditure decreased to 14.4%.From 2015 to 2019,the outpatient score of patient satisfaction increased from 78.0 to 87.2,and the hospitalization score increased from 80.73 to 89.25.In 2019,10 of the 13"Healthy China 2030"plans were completed ahead of schedule.From 2009 to 2019,life expectancy in Shenzhen increased from 77.68 to 81.54 years,an increase of 3.86 years.Theaccessibilityofhealth service has been improved,the cost of medical care can be borne,the satisfaction can be improved and the health level of the population reached the level of developed countries and regions in the world.The experience of Shenzhen have been fully affirmed and popularized by the state and Guangdong Province,and promoted by the World Health Organization and the top international medical journal the Lancet.