【摘要】 建立整合型医疗服务体系是世界各国卫生改革的重要研究命题和趋势。本文基于国际比较的视角,梳理了国外5种典型的整合型医疗服务模式(美国凯撒医疗集团模式、英国国家医疗服务模式、德国公共合同型服务模式、新加坡医疗集团模式和日本分工合作服务模式)和中国医联体5种现有模式(城市组建医疗集团、县域组建医疗共同体、跨区域组建专科联盟、边远贫困地区发展远程医疗协作网、跨区域委托管理模式)的主要特征和运行情况,归纳分析了国外典型整合型医疗服务模式与中国医联体模式的6种同质性与异质性特征,最后提出了典型国家整合型医疗服务建设的成功经验对中国医联体发展的主要启示以及未来整合型医疗服务仍需研究的问题,为我国政府制定相关政策和学者们进一步的研究提供启示和参考。更多还原

【Abstract】 Building an integrated health service system is a crucial topic and trend for health reform in various countries of the world.From the perspective of international comparison,this paper teases out the features and operations of 5 foreign countries’ typical models of integrated health services and 5 existing models of China’s health alliance. We synthetically analyze the similarities and differences between them. Finally,based on the successful experiences of 5 foreign countries’ typical models of integrated health services,this paper puts forward some suggestions for China’s health alliance reform and development and the future questions on integrated health services which need to study,providing some references and enlightenment for policy-makers and the follow-up studies.更多还原