基于健康需求演变的整合型医疗卫生服务体系优化

Optimization of Integrated Health Care Service System Based on the Evolution of Health Demand

因我国医疗卫生领域不平衡、不充分的矛盾较为突出,健康服务供需不适配的困境亟待从体系设计上突破。构建整合型医疗卫生服务体系的分析框架,并基于现阶段居民健康需求在主体、内容、方式三个方面的全景式演变对现有体系的短板进行系统性回应。结合健康需求演变特征,提出体系优化策略:厘清服务链条,构建“点、线、面、体”相结合的内容整合路径;基于“主体-结构-功能”三重向度,打造横向多元主体治理模式;发挥治理要素驱动作用,加快服务方式纵深发展,为推进整合型医疗卫生服务体系优化提供内生动力与外在力量。

The unbalanced and inadequate conflicts in the field of health care are prominent,and the dilemma of the mismatch between supply and demand of health services needs to be broken through from the system design.An analytical framework for an integrated health care service system is constructed to systematically respond to the shortcomings of the existing system based on the panoramic evolution of residents’health demand in the aspects of subject,content and mode in the new era.Combining the characteristics of the evolution of health needs,it proposes a strategy for system optimization:clarifying the service chain and constructing a content integration path that combines“point,line,surface and body”;creating a horizontal multi-participant governance model based on the triple direction of“subject-structure-function”;bringing into play the driving force of governance elements and promoting the deeper development of the service approach,providing internal impetus and external force to promote the optimization of an integrated healthcare service system.