摘要随着分级诊疗制度建设的深入推进,国家对医联体建设的顶层设计逐步清晰,正在努力构建从国家-省级-市级-县级-乡-村的网格化医疗体系布局.作者在分析美国、瑞士、新加坡及加拿大4个国家区域网格化医疗体系构建的基础上,梳理了我国网格化卫生服务体系的发展历程,从组织结构、服务内容、管理机制、支付制度等方面,找出影响网格组建医联体的关键问题,并提出相应的对策和建议.

abstractsWith the progress of the hierarchical medical system, the top-level design for building medical alliances is exhibiting a clearer picture. The Chinese government sets about trying to build a grid-based medical system layout, covering from national, provincial, municipal, county, township, all the way to village level. Based on the analysis of regional grid-based medical systems in the United States, Switzerland, Singapore and Canada, the authors reviewed the development of grid-based health service system in China, and found out key roadblocks for grid-based medical alliances. These problems include the organizational structure, service content, management mechanism, payment system and other aspects, and corresponding countermeasures and suggestions were proposed in the end.