Objective: The paper attempts to innovate the mechanism of coordination between disease prevention and control agencies and hospitals and provide some reference for the construction of a Chinese characteristic mechanism of coordination between disease prevention and control agencies and hospitals. Methods: Literature research, policy comparison, international comparison and other methods were used to analyze the typical models and experience of medical treatment and prevention integration in several countries, and specific analysis was conducted. Results: Compared with some developed countries, the collaborative mechanism between medical treatment and prevention in China is not perfect, and the disconnection of medical treatment and prevention is prominent. There is a lack of effective information sharing and exchange mechanism, a shortage of talents as well as scientific and technological resources, and imbalance in resource allocation, making it difficult to complete continuous and comprehensive health services. Conclusion: To promote the collaborative mechanism between medical insurance and prevention, it is necessary to coordinate the use of medical insurance funds and public health funds, innovate integrated medical and prevention services, improve value-oriented medical insurance payment policies, and leverage the role of medical insurance in promoting hierarchical diagnosis and treatment.
Key words
basic medical care /
public health /
collaborative development /
international experience
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 新华社.习近平主持召开专家学者座谈会并发表重要讲话[EB/OL].(2020-06-02)[2023-10-14].https://www.gov.cn/xinwen/2020-06/02/content_5516848.htm.
[2] 新华社.中共中央关于制定国民经济和社会发展第十四个五年规划和二○三五年远景目标的建议[EB/OL].(2020-11-03)[2023-10-14].http://www.gov.cn/zhengce/2020-11/03/content_5556991.htm.
[3] 国家卫生健康委.关于印发深化医药卫生体制改革2023年下半年重点工作任务的通知[EB/OL].(2023-07-21)[2023-10-14].https://www.gov.cn/zhengce/zhengceku/202307/content_6894073.htm.
[4] 吴利纳,桂朝伟,马秀华,等.协同理论在区域医疗中心突发公共卫生事件应急后备医院建设中的应用与实践[J].中国现代医生,2022,60(15):176-180.
[5] “创新医防协同机制、策略与实施路径学术研讨会”专家组.创新医防协同机制专家建议[J].中华医学杂志,2021,101(32):2505-2507.
[6] 王汉文,汪卓赟,顾维波,等.基于彩虹模型的医防协同实施路径探索[J].南京医科大学学报(社会科学版),2023,23(01):21-25.
[7] WOLF-FORDHAM S.Integrating government silos: local emergency management and public health department collaboration for emergency planning and response[J].The American review of public administration, 2020, 50(6-7) :560-567.
[8] KOO D, FELIX K, DANKWA-MULLAN I, et al.A call for action on primary care and public health integration[J].American journal of public health, 2012,102(3):307-309.
[9] RANGEL GOMEZ M G, SALAZAR S, LOPEZ JARAMILLO A M, et al.Ventanillas de Salud (VDS) and Mobile Health Units (MHU): A binational collaborative models[J].Frontiers in Public Health, 2022,10: 976941
[10] GROSIOS K, GAHAN P B, BURBIDGE J.Overview of healthcare in the UK[J].EPMA journal, 2010 (1): 529-534.
[11] ROBERTSON H.Integration of health and social care.a review of literature and models.Implications for Scotland[J].Royal College of Nursing Scotland, 2011: 1-42.
[12] GAGNON M L, LABONTE R.Understanding how and why health is integrated into foreign policy-a case study of health is global, a UK government strategy 2008-2013[J].Globalization and Health, 2013, 9(1): 1-19.
[13] KIM S, GOH Y, KANG J H B.Moving toward a common goal via cross-sector collaboration: lessons learned from SARS to COVID-19 in Singapore[J].Globalization and health, 2022, 18(1): 1-18.
[14] 胡韵.跨专业团队合作教育的应用现状[J].中国护理管理,2014,14(4): 337-339.
[15] ROSEN R, MOUNTFORD J, LEWIS G, et al.Integration in action: four international case studies[J].London: The Nuffield Trust, 2011.
[16] 于梦根,袁蓓蓓,孟庆跃.基层医疗卫生服务整合的国际经验及对我国的启示[J].中国卫生政策研究,2019,12(6):22-28.
[17] 福建省人民政府网.如何加强医防协同,不断提高疾病防治能力[EB/OL].(2023-05-15)[2023-10-17].http://www.fj.gov.cn/hdjl/hdjlzsk/wjw/ylfw_wjw/202211/t20221115_6048059.htm.
[18] 茹倩,任国征.我国建立公共卫生事业投入机制的分析与建议[EB/OL].(2021-03-19)[2023-10-17].http://iigf.cufe.edu.cn/info/1012/3985.htm.
[19] 应亚珍.以健康为导向探索基本医保基金和公共卫生服务资金统筹使用[J].中国医疗保险.2020(05):7-10.