中国における初等医療制度
Xi Li1, Jiapeng Lu1, Shuang Hu1
1National Clinical Research Center of Cardiovascular Diseases, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Lancet (London, England)
|December 13, 2017
まとめ
中国
科学分野:
- 公衆衛生
- 医療システム研究
- 医療政策
背景:
- 中国の初等医療制度は大きく進歩しました
- しかし 医療の構造や 動機付けや 質の面では 課題が残っています
- これらの問題は 慢性疾患が増加する高齢者層へのサービス提供能力に 影響を及ぼします
研究 の 目的:
- 中国のプライマリヘルスケアシステムにおける現在の課題を分析する.
- 人口統計学と疫学的な変化に対する備えを改善すべき分野を特定する.
- より統合的で効果的な医療制度を確立するために 進行中の医療改革を推進する.
主な方法:
- この研究は,提供された抽象に基づいた定性分析です.
- 構造的,財務的,品質に関する情報を統合しています.
- 労働力,医療情報技術,政策の側面を考察しています.
主要な成果:
- 主な課題は,労働力の資格,医師の転職,分散したITシステム,データ不足などです.
- 経済的インセンティブや保険はコスト削減や業績に最適化されていません
- 品質の測定とリスク因子 (高血圧,糖尿病) の制御は不十分である.
結論:
- 中国のプライマリヘルスケアシステムは 将来の需要を満たすために 重要な改善を必要としています
- 改革は統合,実践からの知識生成,証拠に基づいたインセンティブに焦点を当てるべきです.
- 労働力,技術,財務,品質の問題に対処することは,システムの強化に不可欠です.
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