罗志毅 1卞子豪 1孔凡懿 1杨燕绥 2申斗 3刘跃华4
作者信息
- 1. 深圳 518071 清华大学医院管理研究院
- 2. 清华大学医疗管理学院
- 3. 清华大学公共管理学院民生与健康政策研究中心
- 4. 武汉大学董辅礽经济社会发展研究院
- 折叠
摘要
Abstract
The prevalence of comorbid cerebrocardiovascular diseases continues to rise,imposing a substantial disease and economic burden on healthcare systems in China and globally.The pathological mechanisms of comorbid cerebrocardiovascular diseases are complex.To meet the demand for full-cycle health services among patients,it is necessary to establish a collaborative management model for co-treatment of brain and heart.Based on this,this paper proposes leveraging the institutional advantages of the medical consortium to construct an internal-external coordination model for co-treatment of brain and heart.On the one hand,this model strengthens hierarchical coordination and resource integration within the medical consortium,optimizes the functional positioning of medical institutions at different levels,and improves mechanisms for two-way referral,information sharing,and multidisciplinary collaboration.On the other hand,it promotes collaborative cooperation between the medical consortium and external entities such as centers for disease control and prevention,public health institutions,and social organizations.Through the integration of medical treatment and prevention,social participation,and the development of information platforms,the model aims to establish a comprehensive network for prevention,control,and health support targeting comorbid cerebrocardiovascular diseases.In terms of implementation pathways,this paper puts forward a practical plan for co-treatment of brain and heart in medical consortium driven by the plan-do-study-act(PDSA)cycle,outlining processes including target anchoring,data-driven decision-making,strategy feedback,and experience promotion.It also suggests that future efforts should be systematically advanced from multiple dimensions,such as top-level policy design,grassroots network construction,information platform development,and social resources mobilization,to facilitate the transformation in addressing comorbid cerebrocardiovascular diseases from a"treatment-centered"to"integration of medical treatment and prevention"and"multi-stakeholder co-governance".This paper aims to provide theoretical and practical references for improving the management level of comorbid cerebrocardiovascular diseases and enhancing the collaborative governance capacity of the medical consortium.关键词
脑心血管疾病共病/医疗联合体/脑心同治Key words
Comorbid cerebrocardiovascular disease/Medical consortium/Co-treatment of brain and heart分类
医药卫生
