[1]张 岚,姚棵林,许才明.紧密型县域医共体建设背景下中心乡镇卫生院服务能力提升研究[J].卫生经济研究,2025,42(09):62-66.
 ZHANG Lan,YAO Kelin,XU Caiming.Study on Enhancing the Service Capacity of Central Township Health Centers under the Context of Compact County-Level Medical Community Construction[J].Journal Press of Health Economics Research,2025,42(09):62-66.
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紧密型县域医共体建设背景下中心乡镇卫生院服务能力提升研究

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
42
期数:
2025年09期
页码:
62-66
栏目:
改革探索
出版日期:
2025-08-28

文章信息/Info

Title:
Study on Enhancing the Service Capacity of Central Township Health Centers under the Context of Compact County-Level Medical Community Construction
作者:
张 岚1姚棵林2许才明1
1.浙大城市学院法学院,浙江 杭州 310015
2.中国社会科学院大学政府管理学院,北京 102488
Author(s):
ZHANG Lan YAO Kelin XU Caiming
School of Law, Hangzhou City University, Hangzhou Zhejiang 310015, China
关键词:
紧密型县域医共体中心乡镇卫生院服务能力
Keywords:
compact county-level medical community central township health center service capability
分类号:
R19
文献标志码:
A
摘要:
在紧密型县域医共体建设背景下,中心乡镇卫生院的功能价值主要体现在结构、过程、利益三个核心维度上,分别对应基础医疗保障服务能力、公共卫生服务提供能力、医疗卫生创新发展能力。据此,提出中心乡镇卫生院服务能力提升的实现路径:通过组织架构的紧密联结和信息资源的紧密互通,实现“结构上的紧密联结”;通过医疗业务协作、医防融合服务、人才双向流动,实现“过程上的紧密互动”;通过医保支付对改革、激励机制创新,实现“利益上的紧密契合”。
Abstract:
Under the context of the construction of compact county-level medical community, the functional value of central township health centers primarily manifests in three core dimensions of structure, process, and benefits, corresponding to basic medical care service capacity, public health service provision capacity, and healthcare innovation development capacity. Based on this, the implementation path for improving the service capacity of central township health centers is proposed. Central township health centers need to achieve "close connection in structure" through the close connection of organizational structure and the close exchange of information resources, achieve "close interaction in the process" through medical business collaboration, integrated services of treatment and prevention and two-way talent flow, and achieve "close alignment of interests" through medical insurance payment reforms and innovative incentive mechanisms.

参考文献/References:

[1] 王仁元.浙江:以“三个强”为目标筑牢卫生健康现代化的县域基石[J].中国卫生,2024(03):48-49.
[2] 马伟杭.以四个“实”构建全民全程健康服务体系[N].浙江日报,2022-02-23(008).
[3] 涂怡欣,郁建兴.县域医共体改革:构建整合型医疗卫生服务体系的中国方案[J].治理研究,2025(01):81-90,159.
[4] 袁波英,林凯,董恒进.县域医共体建设对县级公立医院运行的影响——以浙江省为例[J].中国医院管理,2020(02):26-29.
[5] 张浩成,方纪元,沈阳,等.养老机构医养结合服务质量评价指标体系的构建——基于SPO模型[J].卫生软科学,2020(09):23-27.

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更新日期/Last Update: 2025-08-28