整合视角下发展接续性医疗服务的国际经验及启示

International Experiences and Insights on the Development of Continuous Healthcare Services under the Perspective of Integration

目的:总结接续性医疗服务发展的国际经验,为推动我国接续性医疗服务发展提出建议。方法:基于整合视角,系统梳理美、英两国在接续性医疗服务的政策背景、功能定位、机构类型、服务内容和支付方式等方面的发展历程和现状。结果:美国的医疗保险制度和多元化服务机构共同推动急性后期照护制度的建立,英国通过多学科团队和医保支付方式改革构建以患者需求为导向的中期照护制度。结论:我国发展接续性医疗服务应以协同性为重点,建立健全接续性医疗服务政策支持体系;以功能性为核心,规划布局区域内接续性医疗机构;以同质化为目标,提高接续性医疗服务专业化程度。

Objective:To summarize the international experience in the development of continuous healthcare services and make suggestions for promoting the development of continuous healthcare services in China.Methods:Based on the integration perspective,the development history and current situation of the United States and the United Kingdom in terms of the policy background,functional positioning,types of organizations,service contents and payment methods of the continuous healthcare services were systematically sorted out.Results:The medical insurance system and diversified service organizations in the United States jointly promoted the establishment of the Post-Acute Care system,while the United Kingdom constructed a patient-need-oriented intermediate care system through multidisciplinary teams and health insurance payment reform.Conclusion:China should focus on synergy and establish a sound policy support system for the development of continuous healthcare services;plan the layout of regional continuous healthcare services institutions with functionality as the core;and improve the specialization of continuous healthcare services with homogenization as the goal.