深化医药卫生体制改革——优化突发公共卫生事件下医疗资源配置新进展

徐婷; 徐洁; 张录法; 王韬; 董恩宏

doi:10.16766/j.cnki.issn.1674-4152.001987

深化医药卫生体制改革——优化突发公共卫生事件下医疗资源配置新进展

doi: 10.16766/j.cnki.issn.1674-4152.001987

徐婷^{1, 2},
徐洁³,
张录法^{4, 5},
王韬⁶,
董恩宏^{1, 2, ,}

1.
上海健康医学院护理与健康管理学院，上海 201318
2.
上海交通大学媒体与传播学院医学传播研究中心，上海 200240
3.
德州市人民医院急诊科，山东德州 253014
4.
上海交通大学国际与公共事务学院，上海 200030
5.
上海交通大学健康长三角研究院，上海 200030
6.
同济大学附属东方医院应急管理中心，上海 200120

基金项目:

国家社科基金重大项目 18ZDA088

国家社科基金一般项目 19BGL246

国家社科基金一般项目 18BGL242

详细信息

通讯作者:
董恩宏, E-mail: kevin8012@126.com

中图分类号: R197 R184
计量
- 文章访问数: 185
- HTML全文浏览量: 107
- PDF下载量: 11
- 被引次数: 0
出版历程
- 收稿日期: 2020-12-24
- 网络出版日期: 2022-02-16

Deepen the reform of the medical and health system: Optimize new progress in the allocation of medical resources under sudden public health incidents

XU Ting^{1, 2},
XU Jie³,
ZHANG Lu-fa^{4, 5},
WANG Tao⁶,
DONG En-hong^{1, 2
, ,}

1.
School of Nursing and Health Management, Shanghai University of Medicine & Health Science, Shanghai 201318, China

摘要

摘要: 本文简述医疗资源的内涵及其配置要素，对国内外突发公共卫生事件下医疗资源配置研究的现状和进展进行梳理和评述。评述主要从应急资源配置规则、应急管理流程和评估、医疗资源需求量测算、医疗人力、机构、设备、物资和内外部管理等方面进行，提出现有国内外研究存在的问题和不足，包括：(1)对突发公共卫生事件应急管理法律、规则和制度、应急管理常态化流程等体制机制设计的研究没有充分结合各国实际卫生体制考虑；(2)具体对应急场景与医疗资源配置衔接的相关研究较少；(3)我国研究应急医疗资源配置的方法比较有限，大多以定量研究的方法集中在医疗机构选址和应急物资优化配置上，而在突发公共卫生事件场景下如何进行医疗资源种类的确定等方面鲜有涉及。基于以上梳理，提出进一步的研究方向，包括：(1)结合本国国情，开展突发公共卫生事件下应急法律法规及规则流程的相关研究；(2)结合现有卫生体制改革，进行医疗资源配置策略的相关研究；(3)结合具体测算方法，进行医疗资源种类确定、配置要素的优先排序、医疗人财物资源需求测算的研究。
- 突发公共卫生事件 /
- 医疗资源 /
- 配置 /
- 进展
Abstract: This article briefly describes the connotation and allocation elements of medical resources, and reviews the current status and progress of medical resource allocation researches in public health emergency at home and abroad. The review is mainly from the resource allocation rules, emergency management process and evaluation, measurement of medical resources demand, medical human resource, institutions, equipment, supplies and internal and external management, then addresses the limitations of existing researches are as follows: (1) The research on the design of emergency management laws, rules and systems, emergency management normalization process and other institutional mechanisms of public health emergencies is not fully combined with the actual health system of various countries. (2) There are few researches on the connection between specific emergency scenarios and medical resource allocation. (3) The research methods of emergency medical resource allocation in China are relatively limited, most of which focus on the location of medical institutions and the optimal allocation of emergency materials by quantitative research methods. However, there is little discussion on how to determine the types of medical resources in the case of public health emergencies. Based on the above analysis, further research directions are proposed: (1) The formulation of emergency laws, regulations and procedures on medical resource allocation in public health emergency with full consideration of specified health system features for every country. (2) Combined with the existing health system reform, the related research of medical resource allocation strategy was carried out. (3) The determination of the types and prioritization of medical resources, and more uses of methods to compute medical human resource, material resources, financial resources, equipment and other resources needed in public health emergency.
- Public health emergency /
- Medical resources /
- Allocation /
- Progress

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