摘要介绍了由国家卫生计生委卫生发展研究中心及英国国家卫生与临床优化研究院合作开展的中国一体化诊疗路径与支付方式改革项目,阐述了项目的理论依据及理论框架.通过在陕西、重庆、山东、河南4个试点地区实施项目干预措施,认为此项目理论设计合理,实施顺利,并取得一定效果.但也应看到,仅仅依靠这两项措施远远不足以解决全部问题,下一步应继续探索多项改革措施相结合的综合改革.

abstractsThe paper presented a reform program jointly launched by China National Health Development Research Center(CNHDRC) and the UK National Institutes of Health and Care Excellence (NICE) for integrated care pathway and payment reform in China,and its theory basis and framework as well.Intervention measures of the program in Shanxi,Chongqing,Shandong and Henan proved the program theory design as reasonable and implementation outcomes as successful.These two measures,though proven,fall far short of a total solution to overcome roadblocks in the ongoing healthcare reform,and further reforms are expected in the future.