Li Na, Dong Yin, Zhang Gaofeng
Ningbo Insight Hospital Management Consulting, No. 41 Xingning Road, Ningbo, Zhejiang Province, CN.
Yuhuan People's Hospital, No. 18 Changle Road, Yuhuan, Taizhou City, Zhejiang Province, CN.
Int J Integr Care. 2024 Dec 31;24(4):18. doi: 10.5334/ijic.8610. eCollection 2024 Oct-Dec.
China's rapidly aging population and rise in chronic diseases put immense strain on the country's healthcare system. To address these challenges, Yuhuan People's Hospital established County-level Integrated Health Organization (CIHO) as part of the Healthy China 2030 initiative.
Based on the Kaiser Permanente (KP) model, the CIHO takes a multi-disciplinary, collaborative approach to deliver integrated care. It brings together various medical specialties, collaborates with community organizations and companies, and implements reforms in information technology and payment models. Through these efforts, the CIHO has significantly improved healthcare delivery in Yuhuan county.
Population segmentation relies on data integration and segmentation tools to identify targeted healthcare needs. The allocation and collaboration of health workforce for residents with different health conditions are suggested to be dynamically designed according to both internal and external factors. Corresponding payment mechanism is also an important factor that needs to be taken into consideration.
The CIHO's success has provided a model for integrated, efficient healthcare that could be replicated in other regions of China and offer insights for rural areas in other countries facing similar demographic and epidemiological pressures.
中国人口迅速老龄化以及慢性病发病率上升，给该国的医疗体系带来了巨大压力。为应对这些挑战，玉环市人民医院作为“健康中国2030”倡议的一部分，建立了县级整合型医疗卫生服务体系（CIHO）。
基于凯撒医疗集团（KP）模式，县级整合型医疗卫生服务体系采取多学科协作方法提供整合型医疗服务。它汇聚了各个医学专科，与社区组织和企业合作，并在信息技术和支付模式方面进行改革。通过这些努力，县级整合型医疗卫生服务体系显著改善了玉环市的医疗服务提供情况。
人群细分依赖数据整合和细分工具来确定有针对性的医疗需求。建议根据内部和外部因素动态设计针对不同健康状况居民的卫生人力分配与协作。相应的支付机制也是需要考虑的一个重要因素。
县级整合型医疗卫生服务体系的成功为整合、高效的医疗服务提供了一个模式，可在中国其他地区复制，并为面临类似人口和流行病学压力的其他国家农村地区提供借鉴。
