Enlightenment of the Typical Models of Integrated Delivery System Abroad to the Development of Integrated Health Management System in China

doi:10.12114/j.issn.1007-9572.2020.00.344

Abstract

Abstract: Against the backdrop of aging society，changing disease spectrum and furthering the implementation of Healthy China 2030 strategic blueprint measures，China has ushered in a new era of healthy China construction，during which transforming a regional medical consortium into an integrated health management system（IHMS） via upgrading，and the development of IHMS tend to be inevitable. We analyzed the typical models of integrated delivery system abroad at the micro，meso and macro levels with foci on the historical background，specific measures and achievements，and summarized the successful experience. And based on this，we put forward the following recommendations for addressing the challenges faced by the healthcare system and for improving the development of IHMS in China：integrating health-related factors as many as possible to benefit the whole population through the whole life；strengthening the healthcare talent system development with great emphasis on fostering primary care workers；giving priority to the healthcare needs of key population groups and developing interdisciplinary teams；forming high-efficient healthcare delivery modes；enhancing the informatization construction；developing rational and effective incentive mechanisms.

Key words: Integrated medical care system, Integrated health management system, Integrated delivery system, Primary health care, Health care reform

摘要：

随着社会人口老龄化、疾病谱的转变，以及“健康中国2030”战略规划的实施推进，我国迎来了健康中国建设新纪元，医疗联合体（医联体）向健康管理联合体（健联体）转型升级，以及健联体建设成为必然趋势。本文在整合发生的水平对国外整合医疗典型模式进行分析，从历史背景、具体措施、开展成效3方面进行介绍，汇总出其成功经验。同时结合我国卫生服务体系面临的挑战和健联体开展现状，提出如下建议：尽可能整合所有与健康相关的要素，惠及全人群，覆盖全生命周期；以基层医疗卫生机构为主体，加强人才体系建设；关注重点人群，构建跨学科团队；形成高效的医疗卫生服务提供模式；加强信息化建设；建立合理有效的激励机制。

关键词: 　医疗联合体, 健康管理联合体, 整合医疗, 初级卫生保健, 卫生保健改革

XIONG Mei,WU Jia,LIU Lixia, et al. Enlightenment of the Typical Models of Integrated Delivery System Abroad to the Development of Integrated Health Management System in China[J]. Chinese General Practice, 2020, 23(22): 2741-2748. DOI: 10.12114/j.issn.1007-9572.2020.00.344.
熊梅,伍佳,刘利霞等. 国外整合医疗典型模式对我国健康管理联合体建设的启示[J]. 中国全科医学, 2020, 23(22): 2741-2748. DOI: 10.12114/j.issn.1007-9572.2020.00.344.

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