A comparative study on the promotion of grid-based medical alliances at home and abroad

P. Zhang, Bowei Zou, Zhiqiang Li
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Abstract

With the progress of the hierarchical medical system, the top-level design for building medical alliances is exhibiting a clearer picture. The Chinese government sets about trying to build a grid-based medical system layout, covering from national, provincial, municipal, county, township, all the way to village level. Based on the analysis of regional grid-based medical systems in the United States, Switzerland, Singapore and Canada, the authors reviewed the development of grid-based health service system in China, and found out key roadblocks for grid-based medical alliances. These problems include the organizational structure, service content, management mechanism, payment system and other aspects, and corresponding countermeasures and suggestions were proposed in the end. Key words: Health services administration; Grid-based; Medical alliance; Regional medical alliance; Hierarchical medical system
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国内外网格化医疗联盟推广的比较研究
随着分级医疗制度的推进,构建医疗联盟的顶层设计呈现出更加清晰的画面。中国政府开始尝试构建一个网格化的医疗系统布局,覆盖国家、省、市、县、乡,一直到村级。在分析美国、瑞士、新加坡和加拿大区域网格医疗系统的基础上,作者回顾了中国网格医疗服务系统的发展,找出了网格医疗联盟的关键障碍。这些问题包括组织结构、服务内容、管理机制、支付体系等方面,并提出了相应的对策和建议。关键词:卫生服务管理;基于网格;医学联盟;区域医疗联盟;分级医疗体系
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