我国整合型医疗卫生服务体系构建影响因素研究——基于解释结构模型
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作者单位:

1.安徽中医药大学医药经济管理学院 ;2.数据科学与中医药创新发展安徽省哲学社会科学重点实验室 ;3.人文与国际教育交流学院,安徽 合肥 230012

作者简介:

施婷(2000—),女,安徽芜湖人,硕士研究生在读,研究方向为社会医学与卫生事业管理;
张筱荣(1980—),男,安徽无为人,博士,教授,研究方向为网络思想政治教育与意识形态、社会医学与卫生事业管理,通信作者,xiaorong0921@sina.com。

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中图分类号:

R197.1

基金项目:

安徽省新时代育人省级质量工程项目(研究生教育)“安徽中医药大学—合肥市第四人民医院研究生联合培养示范基地”(2022lhpysfjd055);安徽省高校协同创新项目“安徽中医药数据集成与治理研究”(GXXT-2022-095);安徽省高校网络教育名师项目(sztsjh-2024-7-8)


Research on the influencing factors of the construction of integrated healthcare service system in China——Based on interpretive structure model
Author:
Affiliation:

1.School of Medical Economics and Management ;2.Key Laboratory of Data Science and Innovative Development of TraditionalChinese Medicine,Philosophy and Social Sciences of Anhui Province ;3.School of Humanities and International EducationalExchange,Anhui University of Chinese Medicine,Hefei 230012 ,China

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    摘要:

    文章基于解释结构模型,运用文献分析法与专家咨询法,对整合型医疗卫生服务体系构建的影响因素进行筛选、补充、确定,梳理出影响因素间的层级递接关系,分析不同层级因素间的作用机理,为整合型医疗卫生服务体系构建提供参考借鉴。研究表明,整合型医疗卫生服务体系构建影响因素分为 7 个层级,可归纳为表象层、中间层、决定层 3 个层次,其中专业服务协同等是表象层因素,政府资金支持等是中间层因素,地区经济状况等是决定层因素。为提升整合型医疗卫生服务体系构建能力,需要合理配置医疗卫生资源,提升基层卫生服务能力;构建高质量信息服务系统,与健康服务深度嵌合;健全利益协同与激励机制,打造紧密利益共同体。

    Abstract:

    Based on the interpretive structure model,the article utilized literature analysis and the Delphi method to screen,supplement,and determine the influencing factors in constructing an integrated healthcare service system while also helping sort out the hierarchical progressive relationship and mechanism of action between the influencing factors. The influencing factors for the construction of an integrated healthcare service system can be divided into seven layers,which can be further summarized into three levels: the surface level, the intermediate level and the determination level. Among these factors,factors such as professional service coordination are attributed to the surface level factors,while factors like government financial support belong to the intermediate level factors,and regional economic condition can be identified as determination level factors. To improve the capability of the integrated healthcare service system construction,this article suggest allocating healthcare resources properly and strengthening primary healthcare services. It is essential to develop a high - quality information service system which is deeply embedded within healthcare services. Additionally, improving the benefit coordination and incentive mechanisms is also crucial to foster a close community of shared interests.

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施婷,张筱荣,陈志超,张梦怡.我国整合型医疗卫生服务体系构建影响因素研究——基于解释结构模型[J].南京医科大学学报(社会科学版),2025,(1):81~87

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  • 收稿日期:2024-12-01
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  • 在线发布日期: 2025-02-26
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