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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安徽中医药大学

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Research on the Influencing Factors of the Construction of Integrated Healthcare Service System in China --Based on Explanatory Structural Modeling
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    摘要:

    摘要: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,分析解释结构模型中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 explanatory structure model, using the literature analysis method and expert consultation method, we screened, supplemented and determined the influencing factors for the construction of integrated healthcare service system, sorted out the hierarchical succession relationship among the influencing factors, and analyzed the role mechanism among the factors at different levels in the explanatory structure model, so as to provide reference for the construction of integrated healthcare service system. The study shows that the influencing factors for the construction of integrated healthcare service system are divided into 7 levels, which can be summarized into 3 levels, namely, the appearance level, the intermediate level and the decision level, among which the professional service synergy and so on are the appearance level factors, the governmental financial support and so on are the intermediate level factors, and the regional economic condition and so on are the decision level factors. In order to enhance the ability to build an integrated healthcare service system, it is necessary to rationally allocate healthcare resources and enhance the capacity of primary healthcare services; to build a high-quality information service system that is deeply embedded in healthcare services; and to improve the synergy of interests and incentive mechanisms to create a close community of interests.

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  • 收稿日期:2024-12-01
  • 最后修改日期:2025-01-07
  • 录用日期:2025-01-08
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