Research On Integrated Medical And Health Service System Based On Structural Functionalism

Objective: As people’s demand for medical and health services continues to rise,the construction of a high-quality and efficient integrated medical and health service system has become an inevitable trend in the development of China’s medical and health undertakings.This study will analyse the policy hotspots and construction status of the integrated healthcare service system;explore the functional elements of the integrated healthcare service system,and further explore the influencing factors of each functional element to provide ideas for the construction of the integrated healthcare service system.Methods: The 294 integrated health care service system policy texts collected in the Legal Database of Peking University from 2009 to 2022 were used as the data source,and the keyword word-part matrix and co-occurrence matrix were constructed using the methods of cluster analysis,strategic coordinate analysis and keyword co-occurrence network analysis;the policy hotspots were derived by drawing strategic coordinate maps and constructing co-occurrence networks based on the keyword clustering results,and combined with the case study method to summarize The current state of construction.Using the "AGIL" functional analysis method proposed by Parsons,the functional elements of China’s integrated health care service system are identified.Results:(1)In order to explore the frontiers of China’s integrated health care service system,quantitative analysis of policy texts in this area showed that "two-way referral"(86.4%,254/294),"government-run medical care"(85.7%,252/294),and"government-run medical care"(85.7%,252/294)are the most important elements of China’s integrated health care service system.85.7%,252/294),and "medical resources"(82.0%,241/294)are the current policy hotspots for integrated health care service systems;the "division of labor" and "functional positioning The policy initiatives of"division of labor" and "functional positioning" are widely used;"government-run medical care" and "medical insurance payment methods" are the starting and ending points of the policy initiatives of integrated medical and health care service system.(2)Through the analysis of the structural functionalism of the integrated health care service system,it can be seen that the adaptation function embodies the internal and external environment of integration,which is the underlying function to ensure the benign operation of the system and achieve the integration goals;the goal-achieving function embodies the institutional and organizational construction,which starts from the health needs of patients and clarifies the integration goals and target order to establish effective and long-term institutional mechanisms;the integration function embodies the The integration function is reflected in the specific paths and expressions,which play an important role in both the adaptation function and the goal-achieving function of the system;the potential model maintenance function is reflected in the value system as cultural resources and spiritual ties,which provide cultural resources and spiritual ties for the integrated health care service system.Conclusion: The exploration of the construction of an integrated health service system in China has been fruitful,but at the same time there are still problems: the internal and external environment for integration needs to be further optimised;the system and organisation of integration needs to be strengthened;the level of service integration and resource integration still needs to be improved;and the concept of "integration" has not been deeply rooted in people’s hearts.The concept of "integration" has not been well received by the public.It is necessary to establish the concept of health and health development,strengthen the reform of institutional mechanisms,improve the policy system and strengthen the internal coordination mechanism of the health service system.