文章摘要
郭轩荧,杨 帆.我国基层慢性病医防融合的多种实践形式与推进障碍[J].南京医科大学学报(社会科学版),2021,(3):201~206
我国基层慢性病医防融合的多种实践形式与推进障碍
Integration modes of treatment and prevention about chronic disease and its implement obstacle in China
投稿时间:2020-12-02  
DOI:doi:10.7655/NYDXBSS20210301
中文关键词: 医防融合  运行架构  支付方式  绩效评价  信息联结
英文关键词: integration of medicine and prevention  management construction  payment method  performance evaluation  information linkage
基金项目:国家自然科学基金“基于Diderichsen理论的慢性病健康差异测量及其影响因素模型构建”(71704083);江苏省社科应用研究精品工程课题“县域区联体模式下江苏省农村慢性病医疗服务纵向整合策略研究”(19SYB-096)
作者单位
郭轩荧 南京医科大学医政学院 江苏 南京 211166 
杨 帆 南京医科大学医政学院 江苏 南京 211166 
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中文摘要:
      破除“医”“防”之间的隔阂,实现医防融合成为慢性病综合防控的关键举措。各典型地区以高血压、糖尿病等慢性病为突破口,推进基层医防融合的实践工作。文章总结了各典型地区的疾控指导+“市—县区—社区”联合体、行政统筹—科室负责—家医履约、整合型慢性病防控小组的三种实践形式,并且认为缺乏全环节整套医防融合政策供给、“医”“防”各方机构职能分散重叠、现行医保支付方式、医防融合运行的绩效评价尚未建立、卫生信息资源联结不足等阻碍了基层慢性病医防融合,在上述基础上进一步提出促进基层慢性病医防融合的相应策略。
英文摘要:
      Breaking the gap between “medicine” and “prevention” and realizing the integration of medicine and prevention in an all?round and full cycle are the key measures for comprehensive prevention and control of chronic diseases(NCDs). Many areas put forward the integration of medicine and prevention in hypertension and diabetes. The study concluded three typical modes which include the alliance of CDC+“city?county?community”, the mode of administration planning?department in charge of?family doctor serving, and the integrated groups of NCDs prevention and control. We analyzed obstacles such as lack of whole?process policies, overlapping and dispersed institution functions, unreasonable medical insurance payment methods, inadequate performance evaluation system and poor linkages between different information resources. We provided corresponding strategies to improve the integration of medicine and prevention of NCDs in primary health care.
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