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首页> 外文期刊>International Journal of Integrated Care >Critical Success Factors for Regional Health Systems - An International and Local Comparison of What Makes Regional Health Systems Tick
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Critical Success Factors for Regional Health Systems - An International and Local Comparison of What Makes Regional Health Systems Tick

机译：区域卫生系统的关键成功因素 - 将区域卫生系统勾选的国际和本地比较

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Singapore has a good reputation worldwide for somehow achieving high quality healthcare with good outcomes at relatively low cost. This has been achieved through decades of diverse innovations in health financing and investment, care delivery models and behavioural management, and the strong presence of the public sector in selected sectors. However, there is concern that past measures may yet prove inadequate, or even counterproductive, for Singapore's growing and rapidly ageing population. From its first mooting to the current development-in-progress, the Regional Health System (RHS) has evolved in conceptualisation and implementation into the current six health regional systems in Singapore. In their development, many ideas and lessons from other regional health systems in the world have been learnt, imported and implemented in Singapore. Some are clinical and operational for care delivery facilities, while others are concerned with more macro considerations of networks, systems, and policies. This presentation compares exemplar systems in other countries that are noted for successful implementations of Integrated Care (spanning a wide range of for-profit, public sector, and other economies), and describes some essential commonalities across these diverse systems. Aspects examined include their definition, governance, organisation, coordination, financing, risk pooling, provider and patient management. Lessons are drawn from these oft-cited examples to suggest potential dimensions for consideration in the planning and development of Singapore's Regional Health Systems, beyond the immediate ground-level clinical and operational care delivery units, for the benefit of the patients and population they serve.
机译：新加坡在全球范围内拥有良好的信誉，以便以某种方式实现高质量的医疗保健，成本相对较低。这是通过数十年的卫生融资和投资，护理型号和行为管理的多元化创新，以及在所选领域的公共部门的强烈存在。然而，有担心过去的措施可能是新加坡日益增长和迅速老龄化的人口不足，甚至对策。从第一次发作到目前的发展进步，区域卫生系统（RHS）在概念化和实施中发展成为新加坡当前六个健康区域制度的概念化和实施。在他们的发展中，在新加坡进口和实施了世界上其他区域卫生系统的许多想法和教训。有些是护理送货设施的临床和操作，而其他人则关注网络，系统和政策的更多宏观考虑因素。本演示文稿将其他国家/地区的示例性系统与综合护理（跨越广泛的营利，公共部门和其他经济体）的成功实施进行了比较，并描述了这些不同系统的一些必要的共性。审查的各个方面包括他们的定义，治理，组织，协调，融资，风险汇集，提供商和患者管理。从这些讨论的例子中汲取了课程，以建议在新加坡区域卫生系统的规划和发展中审议潜在的尺寸，以便在直接地面临床和运营提供单位之外，为他们服务的患者和人口的利益。

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