[1]王书平,农 圣,胡晔康,等.县域紧密型医共体分类构建策略研究——以“县不强、乡不弱、民营较发达”县域为例[J].卫生经济研究,2020,(08):27-30.
 WANG Shu-ping,NONG Sheng,HU Ye-kang,et al.Study on the Construction Classification Strategy of Close County-level Medical Alliance——Take the Country of "County Hospital is Not Strong, Township Hospital is Not Weak, and Private Hospital is Developed" as an Example[J].Journal Press of Health Economics Research,2020,(08):27-30.
点击复制

县域紧密型医共体分类构建策略研究
——以“县不强、乡不弱、民营较发达”县域为例
分享到:

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
期数:
2020年08期
页码:
27-30
栏目:
聚焦医改
出版日期:
2020-07-31

文章信息/Info

Title:
Study on the Construction Classification Strategy of Close County-level Medical Alliance
——Take the Country of "County Hospital is Not Strong, Township Hospital is Not Weak, and Private Hospital is Developed" as an Example
作者:
王书平12农 圣3胡晔康1黄二丹1
1. 国家卫生健康委卫生发展研究中心,北京 100044
2. 中国卫生经济学会,北京 100183
3. 北京大学医学部,北京 100191
Author(s):
WANG Shu-pingNONG ShengHU Ye-kangHUANG Er-dan
China National Health Development Research Center,China Health Economics Association, Beijing 100044,China
关键词:
紧密型医共体 县医院乡镇卫生院民营医院
Keywords:
close medical alliance county hospitaltownship hospital private hospital
分类号:
R197
文献标志码:
A
摘要:
目的:调研苏北2个县的紧密型医共体方案制定及实施过程中存在的问题,为类似县域更好地推进紧密型医共体建设提供依据。方法:利用描述法和主题框架法分析定量和定性资料。结果:县域紧密型医共体存在的主要问题为县级医院的专科能力得不到加强、乡镇卫生院能力提升受限、民营医院发展不足,以及医共体推进中领导不够重视、内部信息未能互联互通。结论:提升牵头医院专科能力、突出基层机构专科特色、规范民营医院发展,同时提高医共体的外部治理能力、推进医共体内部信息的互联互通。
Abstract:
Objective To investigate the problems existing in the project establishment and implementation of close medical alliance in two counties in northern Jiangsu,and to provide suggestions for promoting the construction of close medical alliance in similar counties. Methods Quantitative and qualitative data were analyzed by descriptive statistical analysis and thematic framework analysis.Results The close county-level medical alliance has the following problems:the specialized ability of county hospitals is not strengthened,the ability of township hospitals is limited,the development of private hospitals is insufficient,the leaders pay insufficient attention to the promotion of medical alliance,and the internal information is not interconnection.Conclusion Enhance the specialist ability of county hospitals,highlight the specialist characteristics of township hospitals,standardize the development of private hospitals,improve the external governance ability and the interconnection of internal information of medical alliance.

参考文献/References:

[1] Enthoven A C, Tollen L A.Competition in health care: it takes systems to pursue quality and efficiency[J].2005(5):W5.
[2] 李伯阳,张亮.断裂与重塑:建立整合型医疗服务体系[J].中国卫生经济,2012,31(7):16-19.
[3] Schmitt M. Do hospital mergers reduce costs?[J].Journal of Health Economics,2017,52(3):74-94.
[4] 国家卫生健康委员会.2019中国卫生健康统计年鉴[M].北京:中国协和医科大学出版社,2019.
[5] 覃娴静,徐婷婷,高洪达,等.县域医共体改革后乡镇卫生院医疗服务能力的变化[J].广西医学,2018,40(24):2932-2935.
[6] 曹艳芳.H市县域医共体建设问题与对策[D].合肥:安徽大学,2018.
[7] 蒋青青,陈帆,卢祖洵,等.医联体对分级诊疗制度的影响:全科医生视角[J].医学与哲学,2019,40(19):53-56.
[8] 程念,汪早立.典型地区医联体模式与成效对比研究[J].中国卫生经济,2018,37(7):12-15.
[9] 刘巧艳,李丽清,曹世义,等.我国非公立医疗机构发展的SWOT分析[J]. 中国社会医学杂志,2019,36(1):4-7.
[10] 王秋宇,张铎,张丽伟,等.北京市非公立医院发展现状、问题与对策研究[J].中国社会医学杂志,2014,31(1):22-24.
[11] 朱碧帆,李芬,陈多,等.整合医疗卫生服务体系筹资激励机制现状、问题和优化策略[J].中国卫生资源,2019,22(6):410-414.
[12] 赵敏捷,贾梦,王芳,等.浙江省德清县县域医共体改革措施与效果分析[J].中国卫生政策研究,2019,12(11):53-58.
[13] 陶生生,梅光亮,白忠良,等.基于社会网络理论的县域医共体建设思考 [J].卫生经济研究,2018(9):21-23.

相似文献/References:

[1]单 莹,马方恩,张立恒,等.县域医共体的医防融合实践进展研究[J].卫生经济研究,2021,38(9):10.
 SHAN Ying,MA Fang-en,ZHANG Li-heng,et al.Study on the Progress of Medical and Preventive Integration Practice in County Medical Community[J].Journal Press of Health Economics Research,2021,38(08):10.
[2]王 鉴,黄成庆,张 云,等.不同医保类型患者住院费用和补偿水平的比较分析[J].卫生经济研究,2023,40(10):45.
 WANG Jian,HUANG Chengqing,ZHANG Yun,et al.Comparative Analysis of Hospitalization Expenses and Compensation Levels for Patients with Different Types of Medical Insurance[J].Journal Press of Health Economics Research,2023,40(08):45.
[3]李乐乐,王 曦.紧密型医共体对提升基层医疗卫生服务能力的影响研究 ——基于分享经济理论[J].卫生经济研究,2023,40(12):39.
 LI Lele,WANG Xi.Study on the Impact of Compact Medical Community on Improving the Capacity of Primary Medical and Health Services ——Based on the Theory of Sharing Economy[J].Journal Press of Health Economics Research,2023,40(08):39.

更新日期/Last Update: 2020-07-31