陈明
【摘 要】以医疗服务机构改革、医保体制改革和药品流通体制改革为核心的三医联动医疗服务体系改革是解决百姓“看病难”“看病贵”问题的重要途径。资源的优化配置已成为此次改革中实现医疗资源公平性的着眼点之一。论文从大数据的特征入手,从医疗保障、药品供应保障体制改革、医联体的建设及医疗机构内部改革三个层次梳理大数据分析运用现状,并通过大数据分析的预测性及分析范围的高维度论述其在医疗卫生服务体系改革中的促进作用。
【Abstract】The reform of the three-hospital linkage medical service system, with the reform of medical service institutions, medical insurance system and drug circulation system as the core, is an important way to solve the problem of "difficulty" and "high cost" in getting medical services. The optimal allocation of resources has become one of the focal points to realize the equity of medical resources in this reform. Starting from the characteristics of big data, this paper sorts out the current situation of the application of big data analysis from the three levels of medical security, drug supply and security system reform, the construction of medical confederacy and the internal reform of medical institutions, and discusses the promotion effect of big data analysis in the reform of medical and health service system through its predictability and high dimension of analysis scope.
【關键词】大数据分析;医疗卫生服务体系改革;资源配置
【Keywords】big data analysis; reform of medical and health service system; resource allocation
【中图分类号】R197.1 【文献标志码】A 【文章编号】1673-1069(2021)02-0168-03
1 引言
为了缓解和根本上解决长久以来困扰医疗行业健康发展的诸多问题,国家积极实施了一系列医疗体制改革的措施并取得了一些成效。然而,当改革逐步进入“深水区”,协调推进医疗服务体制、药品供应保障体制以及医疗保障体制改革已是势在必行。2017年李克强总理在主持召开的国务院常务会议中,明确指出要通过医改,优化医疗资源配置以保障人民健康。因此,医疗资源优化配置既是医疗行业发展的关键,同时也是三医联动中亟待解决的重要问题之一。
资源是稀缺的,医疗资源更是如此。有学者认为,医疗资源的优化配置需要以医疗服务的可及性、医疗服务的公平性以及医疗体系的效率为主要标准[1],因此,在三医联动中要实现资源的优化配置需要三个层次共……