中国的初级卫生保健系统
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
概括
在中国
科学领域:
- 公共卫生
- 卫生系统研究
- 医疗保健政策
背景情况:
- 中国的初级卫生保健系统已经取得了显著的进步.
- 然而,在医疗结构,激励和质量方面仍然存在挑战.
- 这些问题影响了该系统为老龄化人口提供服务的能力,
研究的目的:
- 分析中国初级卫生保健系统当前面临的挑战.
- 确定应对人口和流行病变化的准备工作需要改进的领域.
- 为正在进行的医疗改革提供信息,以实现更为综合和有效的系统.
主要方法:
- 本研究是基于所提供的摘要进行的定性分析.
- 它综合了结构性,财务和质量相关问题的信息.
- 它考察了劳动力,健康信息技术和政策方面.
主要成果:
- 主要挑战包括劳动力资格,医生流动,碎片化的IT系统和数据短缺.
- 金融激励和保险政策没有优化成本节约或绩效.
- 质量测量和风险因素控制 (高血压,糖尿病) 是不够的.
结论:
- 为了满足未来的需求,中国的初级医疗保健系统需要大幅改进.
- 改革应侧重于整合,从实践中产生知识和基于证据的激励措施.
- 解决劳动力,技术,财务和质量问题对于系统增强至关重要.
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