摘要
目的:总结基层医疗卫生服务供给范围和治理结构的国际经验,为相关研究和改革实践提供参考。方法:以“制度-结构-过程-结局”作为分析框架,对部分国家基层医疗卫生服务供给范围和治理结构进行了比较分析。结果:各国通过立法规定了相应的供给范围,持续的筹资和支付方式、激励机制改革有助于促进服务有效供给。结论:基层医疗卫生服务治理需要与关键要素相互适应,才能形成有效的治理结构,促进服务供给。
Objective:It aims to provide references for relevant research and reforms in China by summarizing international experience of the service scope and governance structure of primary care services.Methods:Taking “system-structure-process-outcome”as the analytical framework,services scope and governance structure of primary care services in typical countries are reviewed and compared.Results:Services scope of primary care are guaranteed through legislation,and the continuous reform of financing,payment methods and incentive mechanism will help to promote the provision of integrated services.Conclusion:The effective governance of primary care service supply needs to fit other key driving factors,thus forming an effective governance structure and promoting service supply.
作者
李忠
贺睿博
张亮
陈城
LI Zhong;HE Rui-bo;ZHANG Liang(Institute of Healthy Jiangsu Development,Nanjing Medical University,Nanjing,211166,China;不详)
出处
《中国卫生经济》
北大核心
2022年第2期44-48,共5页
Chinese Health Economics
基金
国家自然科学基金重点项目(71734003)
江苏高校哲学社会科学优秀创新团队“公共健康政策与管理创新研究团队”的资助
人口老龄化与江苏养老体系建设研究——江苏省老龄人群健康服务提供模式研究(2019SJA0293)。
关键词
基层医疗卫生服务
服务范围
治理结构
国际经验
primary health service
service scope
governance structure
international experience
