Medical needs include information needs and technical needs, and the essence of health management is that family doctors meet information needs, and on this basis, clinicians meet technical needs. In the past, it was only to meet the technical needs, but ignored the information needs of the whole process of disease occurrence and development, and the choice of medical treatment due to information asymmetry contradicted the rational utilization and optimal allocation of medical resources, restricting the operation quality of the medical and health service supply system.
Deeply studying demand and establishing the supply and demand relationship of medical and health services with demand as the focus of management is the foundation for establishing an integrated service system. The core of integration is to integrate the demand and supply adaptably around the information needs and technical needs of each patient, and its carrier is the health management chain established according to the whole process of disease occurrence and development. Demand management is already a major basic issue related to the overall situation of medical reform, but its premise is to study and understand the needs thoroughly. There are four main situations:
1. The continuity of demand requires multi-link integration. With a disease, there is a demand for professional information transmission in the whole process of pre-hospital, in-hospital and post-hospital and the demand for diagnosis and treatment technology in the hospital, and it is necessary to eliminate the uncertainty of disease risk through professional information transmission in the whole process, and to provide medical and health technical services on this basis, it is necessary to integrate information services and technical services in multiple links and the whole chain.
2. The complex nature of demand requires multi-agency integration. A person suffers from multiple diseases at the same time, and under the premise that each disease has a full-chain professional information transmission demand, multiple medical and health institutions need to provide technical services separately. While realizing the integration of the whole chain of information services and technical services for each disease, it is necessary to integrate the information services and technical services of various diseases. While providing services for one disease, an organization can integrate the interconnection and interaction with other diseases.
3. The complexity of the requirements requires multidisciplinary integration. If a person suffers from multiple diseases, one of which is getting worse, it is necessary to prioritize the provision of full-chain information and technology integration services for this disease, and at the same time, it is necessary to provide multidisciplinary integrated services for other diseases. This multidisciplinary integration can be provided by a single institution or by multiple institutions organized by one institution;It not only provides multidisciplinary integrated services for the aggravating disease itself, but also provides multidisciplinary integrated services for related diseases mainly for aggravating diseases.
4. The causality of demand requires multi-disciplinary integration. Regardless of suffering from a disease, or suffering from a variety of diseases, regardless of the complexity of the disease, or the complexity of the disease, at the same time as the occurrence and development of the disease, some of the best continue to have an impact, and it is necessary to provide multi-professional full-chain information and technology integration services for the disease at the same time, mainly the integration of preventive medicine and clinical medicine. These may be biological, social, or more likely to be behavioral risk factors, for which multi-disciplinary information and technology-integrated services are also required.
Everyone's disease needs are different, but in general, they are nothing more than the above four situations, and each situation determines the integration focus of the integrated service system, and it is impossible to integrate in a targeted manner without studying the needs.