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首页> 外文期刊>The Canadian journal of hospital pharmacy. >Of Silos and Systems: The Issue of Regionalizing Health Care
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Of Silos and Systems: The Issue of Regionalizing Health Care

机译：孤岛和系统：医疗保健的区域化问题

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Regionalization refers to the creation of an intermediary administrative and governance structure (often referred to as a regional health authority or board) that assumes responsibility for organizing and delivering health care services to a defined population.' The formation of a regional health board shifts the responsibility for decisions about funding and allocating health care resources away from both individual organizations (for example, a community hospital board) and the provincial ministry of health. The main goals of regionalization are to help contain rising health care costs (through economies of scale), to improve responsiveness to and accountability for population health needs, and to increase public participation in health care decision-making.1 In essence, the responsibility for providing health care services moves away from the "silos" of fragmented, individual organizations (as just one example, before regionalization in Saskatchewan, the province had more than 400 individual health care organizations, such as acute care hospitals and community care groups2) to a "system" of health care that . is delivered in an integrated fashion by a single regional organization.
机译：区域化是指建立一个中介行政和治理结构（通常称为区域卫生局或委员会），该组织负责为确定的人群组织和提供医疗服务。区域卫生委员会的成立将有关筹资和分配医疗资源的决策责任从单个组织（例如，社区医院委员会）和省卫生部转移了出去。区域化的主要目标是（通过规模经济）帮助遏制不断上升的医疗保健成本，提高对人口健康需求的响应能力和问责制，以及增加公众对医疗保健决策的参与。1本质上，对医疗保健决策的责任提供医疗保健服务的机构从零散的，个体化的组织“孤岛”（仅举一个例子，在萨斯喀彻温省进行区域化之前，该省拥有400多个个体医疗保健组织，例如急诊医院和社区护理团体2）那个“医疗体系”。由单个区域组织以集成方式交付。

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