基于霍恩—米特模型的医防融合策略探究

The Strategy of Treatment-Prevention Integration Based on Horn-Meter Model

医防融合是由“防治结合”和“医防协同”推演而来,在演进过程中内容不断丰富。以霍恩—米特模型为理论分析框架,从政策目标、政策资源、执行方式、执行机构特征、执行者价值取向以及系统环境等6个维度厘清医防融合的影响因素。结合文献分析,阐述医防融合的“堵点”,提出统筹推进医防融合顶层设计,建立专项资金和绩效评价体系,完善健康大数据和信息平台建设等策略,为医防融合的全面推进提供参考。

Treatment-prevention integration is deduced from"combination of prevention and treatment"and"treatment and prevention coordination".In the course of its evolution,the content is continuously enriched.Taking Horn-Meter model as the theoretical analysis framework,the obstacle factors were clarified from six dimensions,including policy objectives,policy resources,implementation methods,characteristics of implementation institutions,value orientation of implementer and system environment.Based on the analysis of literature,the paper expounded the"blocking points"existing in treatment-prevention integration,proposed to promote the top-level design of treatment-prevention integration in a coordinated way,establish special funds and performance evaluation system,and improve the construction of health big data and information platform,so as to provide references for the comprehensive promotion of treatment-prevention integration.