Analysis of the management and service mechanisms in the integration dilemma of medicine and prevention in China
10.3969/j.issn.1674-2982.2024.01.001
- VernacularTitle:我国医防融合困境中的管理和服务机制剖析
- Author:
Chen-Zhou WANG
1
;
Yan ZHANG
;
Liang ZHANG
Author Information
1. 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030;湖北省人文社科重点研究基地农村健康服务研究中心 湖北武汉 430030
- Keywords:
Integration of medicine and prevention;
Management mechanism;
Service mechanism;
Dilemma;
Integration
- From:
Chinese Journal of Health Policy
2024;17(1):2-8
- CountryChina
- Language:Chinese
-
Abstract:
This paper analyzes the main obstacles in the process of promoting the integration of medicine and prevention in China,including the mindset of prioritizing medical care over prevention,fragmented system architecture,conflicting direction of funding and incentives,and inherent contradictions in the division of labor and cooperation in service provision.Furthermore,this article attempts to present the current status and constraints of medical and health integration in China from the perspectives of management mechanisms and service mechanisms,highlighting the mismatch between these two aspects as the root cause.It proposes that the reform logic of current medical and health integration practices should prioritize the service mechanism.This involves clarifying the service interface of medicine and prevention integration and establishing patient-centered service pathways for integration.In the establishment of the service mechanism,a balance should be struck between efficiency and quality,while also integrating based on division of labor.Subsequently,adjustments to the management mechanism should be made in accordance with the medicine and prevention integration service mechanism.In the reform of the management mechanism,various stakeholders'interests should be coordinated and the costs of reform should be controlled.
