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基于霍恩—米特模型的医防融合策略探究

The Strategy of Treatment-Prevention Integration Based on Horn-Meter Model

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医防融合是由"防治结合"和"医防协同"推演而来,在演进过程中内容不断丰富.以霍恩—米特模型为理论分析框架,从政策目标、政策资源、执行方式、执行机构特征、执行者价值取向以及系统环境等 6 个维度厘清医防融合的影响因素.结合文献分析,阐述医防融合的"堵点",提出统筹推进医防融合顶层设计,建立专项资金和绩效评价体系,完善健康大数据和信息平台建设等策略,为医防融合的全面推进提供参考.
Treatment-prevention integration is deduced from"combination of prevention and treatment"and"treatment and prevention coordination".In the course of its evolution,the content is continuously enriched.Taking Horn-Meter model as the theoretical analysis framework,the obstacle factors were clarified from six dimensions,including policy objectives,policy resources,implementation methods,characteristics of implementation institutions,value orien-tation of implementer and system environment.Based on the analysis of literature,the paper expounded the"blocking points"existing in treatment-prevention integration,proposed to promote the top-level design of treatment-preven-tion integration in a coordinated way,establish special funds and performance evaluation system,and improve the con-struction of health big data and information platform,so as to provide references for the comprehensive promotion of treatment-prevention integration.

Treatment-Prevention IntegrationTreatment and Prevention CoordinationHorn-Meter ModelPolicy Evolution

赵冀校、张可欣、李佳佳、杨路莹、郭凌云、李瑞锋

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北京中医药大学管理学院 北京 100029

医防融合 防治协同 霍恩—米特模型 政策演进

2024

中国卫生质量管理
中国医院协会,陕西省人民医院

中国卫生质量管理

CSTPCD
影响因子:1.091
ISSN:1006-7515
年,卷(期):2024.31(2)
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