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      [1]王海和簡鋼雷攀.某縣域醫共體試點建設回顧性調查分析與思考[J].中國衛生質量管理,2021,28(08):091-94.[doi:10.13912/j.cnki.chqm.2021.28.8.24 ]
       WANG Haihe,JIAN Gang,LEI Pan.Retrospective Investigation and Analysis on Pilot Construction of Medical Community in a County[J].Chinese Health Quality Management,2021,28(08):091-94.[doi:10.13912/j.cnki.chqm.2021.28.8.24 ]
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      某縣域醫共體試點建設回顧性調查分析與思考
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      《中國衛生質量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

      卷:
      第28卷
      期數:
      2021年08期
      頁碼:
      091-94
      欄目:
      問題與探索
      出版日期:
      2021-08-28

      文章信息/Info

      Title:
      Retrospective Investigation and Analysis on Pilot Construction of Medical Community in a County
      作者:
      王海和簡鋼雷攀
      十堰市太和醫院(湖北醫藥學院附屬醫院)
      Author(s):
      WANG HaiheJIAN GangLEI Pan
      Taihe Hospital of Shiyan (Affiliated Hospital of Hubei University of Medicine)
      關鍵詞:
      緊密型縣域醫共體試點建設分級診療醫防融合
      Keywords:
      Close County-Level Medical Alliance Pilot Construction Hierarchical Diagnosis and Treatment Integration of Medicine and Prevention
      分類號:
      R197.3
      DOI:
      10.13912/j.cnki.chqm.2021.28.8.24
      文獻標志碼:
      B
      摘要:
      目的分析某縣域醫共體試點建設過程中面臨的困難和不足,為醫共體推進工作提供決策參考。方法圍繞試點建設內容——內部治理結構、醫療資源整合、分級診療、信息系統建設、薪酬制度改革、支付方式改革等幾個維度,對區域內某縣域醫共體組建運行1年來的情況開展回顧性調研。結果實現緊密型醫共體的目標——構建分級診療、合理診治和有序就醫新秩序還需要克服形式,深入推進。結論試點工作需要從政府治理層面入手,不僅需要理順內部責、權,還需要重點解決好“管”“辦”分開,內部人事薪酬制度重構、醫保支付政策改革,同時在信息化、內部人員配置與優勢醫療資源服務下沉、一體化協作、醫防融合促進社會大健康理念方面統籌兼顧、釋放活力。尤其在政策和配套制度改革方面更需因地制宜,利用政策來積極引導醫療模式轉型,為實現連續性醫療提供動力。
      Abstract:
      ObjectiveTo provide decision-making reference for similar medical communities by analysis of the difficulties and challenges occurred in the pilot construction of a county-level medical community.MethodsRetrospective research centered on the establishment and operation of a compact medical community in a county for one year was carried out in its pilot construction from the following aspects: the internal governance structure, medical resource integration, hierarchical diagnosis and treatment, information system construction, salary system reform, payment method reform, etc.ResultsThe goal of establishing compact medical communities can be achieved by building up a new medical order by hierarchical, rational and orderly diagnosis and treatment system.Conclusion The pilot work had to start from the government governance, not only to sort out its internal responsibilities and powers, but also to separate the its "management" and "operation", to reconstruct its internal personnel compensation system, to reform its medical insurance payment policies, also to make an overall planning on informatization, internal staffing and providing superior resource to the grassroots, integrating collaboration, integrating medical treatment and prevention, so as to promote the overall health awareness of the society. In terms of policy making and supporting system reforming, it was more necessary to adapt measures to local conditions, and to use policies actively to guide the transformation of medical mode and provide impetus for the realization of continuous medical transformation.

      參考文獻/References:

      [1]吳靜娜,王志強,邵宇群.縣域醫共體模式下薪酬制度改革實踐與研究[J].中國衛生質量管理,2020,27(1):127-130. [2]盧雪哲,朱永苗.淺談縣域醫共體模式下鄉鎮衛生院績效分配[J].江蘇衛生事業管理,2020,31(6):774-778. [3]牛亞冬, 張亮. 縣域醫共體的發展現狀與問題分析[J].中國衛生經濟, 2020,39(2):22-25. [4]司俊霄,柯雄.整體性治理語境下緊密型縣域醫共體改革研究[J].中國農村衛生事業管理,2020,40(8):562-567. [5]唐其江,丁志偉.醫聯體項目化建設助推基層診療能力提升[J].中國衛生質量管理,2019,26(4):142-144. [6]章平.縣域醫共體要打通“關鍵路徑”[J].中國衛生,2019(3):82-83. [7]游祖宏,黃偉.公立醫院績效工資二次分配審計探析[J].現代醫藥衛生, 2019,35(7):1110-1112.

      更新日期/Last Update: 2021-08-28
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