[1]王浩宇,杨金侠,杨笛聆,等.基层医务人员对县域医共体建设的认知与评价研究[J].卫生经济研究,2023,40(9):57-60.
 WANG Haoyu,YANG Jinxia,YANG Diling,et al.Study on the Perception and Evaluation of Primary Medical Staff on the Construction of County-level Medical Community[J].Journal Press of Health Economics Research,2023,40(9):57-60.
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基层医务人员对县域医共体建设的认知与评价研究
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
40
期数:
2023年9期
页码:
57-60
栏目:
健康服务体系
出版日期:
2023-08-25

文章信息/Info

Title:
Study on the Perception and Evaluation of Primary Medical Staff on the Construction of County-level Medical Community
作者:
王浩宇1杨金侠1杨笛聆1傅丹敏1陈雨晴1
1.安徽医科大学卫生管理学院,安徽 合肥 230032
Author(s):
WANG Haoyu YANG Jinxia YANG Diling FU Danmin Chen Yuqing
School of Health Management, Anhui Medical University, Hefei Anhui 230032, China
关键词:
县域医共体基层医务人员认知与评价
Keywords:
county-level medical community primary medical staff perception and evaluation
分类号:
R19
文献标志码:
A
摘要:
目的:从基层医务人员的视角发现县域医共体建设的不足,提出针对性建议。方法:对安徽省某市基层卫生机构的2 106名医务人员进行问卷调查,总结基层医务人员对县域医共体建设的认知与评价。结果:基层医务人员对医共体建设的认知程度较好,参与积极性较高,总体评价满意;但也普遍认为,县域医共体建设在薪酬绩效考核、双向转诊、帮扶方式、药品供给、工作量平衡等方面尚有改进的空间。结论:注重基层医务人员服务能力的提升,优化医共体薪酬制度和人力资源管理机制、双向转诊机制和治理机制,多方施策补齐县域医疗短板,持续提高居民健康水平。
Abstract:
Objective To identify the shortcomings in the construction of county-level medical communities from the perspective of primary medical staff, and to propose targeted suggestions. Methods A questionnaire survey was conducted on 2 106 medical staff from primary medical and health institutions in a certain city in Anhui province. Results Primary medical staff had a good perception of the construction of the medical communities, and was satisfied with the overall evaluation of medical communities. However, it was widely believed that there was still room for improvement in the construction of county-level medical communities, such as salary performance assessment, two-way referral, assistance methods, drug supply, and workload balance. Conclusion It is necessary to focus on improving the service capabilities of primary medical staff, optimize the compensation system, human resource management mechanism two-way referral mechanism and governance mechanism of medical community, implement various measures to fill the gaps in county-level medical care, and continuously improve the health level of residents.

参考文献/References:

[1] 郁建兴,涂怡欣,吴超.探索整合型医疗卫生服务体系的中国方案——基于安徽、山西与浙江县域医共体的调查[J].治理研究,2020,36(1):5-15,2.
[2] 江蒙喜.提升县域医疗卫生机构服务能力的机制与策略探讨[J].中国卫生经济,2019,38(2):24-26.
[3] 高强,肖锦铖.安徽省县域医共体综合绩效考核指标体系研究[J].中国农村卫生事业管理,2021,41(1):7-11.
[4] 杜红波.医联体背景下区域医疗中心对口帮扶基层医疗机构现状研究[D].广州:南方医科大学,2019.
[5] 江蒙喜.县域医共体建设中促进“共”的实践路径探讨[J].卫生经济研究,2020,37(6):3-5.
[6] 陈楚颖,魏来,周丽,等.医共体背景下基层卫生人力资源建设阻碍因素及对策的质性研究[J].中国卫生事业管理,2022,39(3):180-184.
[7] 应练.县域医共体全员岗位管理的实践与思考[J].卫生经济研究,2020,37(12):67-69.
[8] 张玉韬.多主体博弈视角下医疗联合体内中心医院与基层医疗机构合作的推进策略[D].南京:南京理工大学,2020.
[9] 顾昕.财政制度改革与浙江省县域医共体的推进[J].治理研究,2019,35(1):12-20.
[10] 成王金,朱益民.基层首诊实施的制约因素与促进对策[J].卫生经济研究,2017,34(10):56-58.
[11] 陈丽华.紧密型县域医共体资源整合协同策略研究[D].南宁:广西大学,2022.
[12] 申红娟,崔兆涵,史二敏,等.紧密型医共体推动县域医疗卫生高质量发展案例研究[J].中国医院管理,2022,42(5):16-20.
[13] 喻栎吉.双向转诊中“下转”环节的问题与对策研究[D].成都:四川师范大学,2021.
[14] 李新,秦刚,李珊珊,等.医务人员对县域医共体的认知与评价[J].中国农村卫生事业管理,2020,40(7):486-491.
[15] 陈浩,周睿,顾仁君,等.基于合作博弈夏普利值法的县域医共体利益分配研究[J].卫生经济研究,2022,39(6):82-85.

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更新日期/Last Update: 2023-08-25