医防协同的国际经验与启示

International Experience and Inspiration of Coordination Between Disease Prevention and Control Agencies and Hospitals

目的:创新医防协同机制,为建设中国特色医防融合体系提供部分借鉴。方法:采用文献研究、政策对比、国际比较等方法分析典型国家医防融合模式与经验,并进行具体分析。结果:与部分发达国家相比,我国医防协同机制不完善,医防脱节问题突出,缺乏有效的信息共享与交流机制,人才和科学技术短缺,资源配置不平衡,难以完成连续、综合的健康服务。结论:推进医防协同机制,要统筹医保基金和公卫资金使用、创新医防融合服务、完善以价值为导向的医保支付政策、发挥医保在推动分级诊疗中的促进作用等。

Objective:The paper attempts to innovate the mechanism of coordination between disease prevention and control agencies and hospitals and provide some reference for the construction of a Chinese characteristic mechanism of coordination between disease prevention and control agencies and hospitals.Methods:Literature research,policy comparison,international comparison and other methods were used to analyze the typical models and experience of medical treatment and prevention integration in several countries,and specific analysis was conducted.Results:Compared with some developed countries,the collaborative mechanism between medical treatment and prevention in China is not perfect,and the disconnection of medical treatment and prevention is prominent.There is a lack of effective information sharing and exchange mechanism,a shortage of talents as well as scientific and technological resources,and imbalance in resource allocation,making it difficult to complete continuous and comprehensive health services.Conclusion:To promote the collaborative mechanism between medical insurance and prevention,it is necessary to coordinate the use of medical insurance funds and public health funds,innovate integrated medical and prevention services,improve value-oriented medical insurance payment policies,and leverage the role of medical insurance in promoting hierarchical diagnosis and treatment.