Research on the construction of health protection system in Sanming during the new era
10.3760/cma.j.cn111325-20240602-00452
- VernacularTitle:三明市新时代健康保障体系构建研究
- Author:
Shengpeng GUO
1
;
Yu MA
;
Yang ZHAO
;
Hufeng WANG
Author Information
1. 中国人民大学公共管理学院/医改研究中心，北京 100872
- Keywords:
Health services;
Healthy China;
Rainbow model;
Sanming
- From:
Chinese Journal of Hospital Administration
2024;40(7):487-493
- CountryChina
- Language:Chinese
-
Abstract:
Healthy Sanming is a new stage, a new goal and a new station of Sanming′s reform of medical and health system. Based on the rainbow model, the author summarized and analyzed the theoretical logic, content framework and practical effectiveness of the health protection system in new era, summarized the advanced experience and practices in the construction of Healthy Sanming, and systematically interpreted the Sanming practice in Healthy China. Vertically, the macro-level of institutional integration constructed a regional healthcare mechanism to improve the protection system, the meso-level of organizational integration promoted the four-tier referral mode to build a protection network, the micro-level of the professional integration carried out in-depth medical and preventive synergy and fusion to protect the key populations, and the service integration provided life-cycle health services to consolidate the health coverage. Horizontally, the instrumental level drived health performance through the innovation of the health insurance fund and payment method, and the value level standardized and balanced the layout of resources by enhancing the primary medical service capacity. Constructing the health protection system in new era is an important initiative for the construction of healthy Sanming, public hospitals have shifted their focus from treating diseases to treating diseases and health management, the service system has shifted from the program system of health care and health to the synergy and integration of medical and preventive care, and medical insurance payment has shifted from regulating the behavior of doctors′ practice to encouraging the development of health promotion. These health transformations have resulted in a series of experiences that can inform the articulation of the reform of medical and health system with the construction of Healthy China.
