基于资源共享的武汉城市圈医疗服务体系障碍研究  

Research on the obstacles of resources sharing based medical service system in Wuhan urban circle

作　　者：张明[1] 许栋[1] 彭义香[1] 吴少玮[1] 危莉[1] 冯正文[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院

出　　处：《中国医院》2013年第7期19-21,共3页Chinese Hospitals

基　　金：湖北省卫生厅卫生政策科研项目(ZC2010-9)

摘　　要：目的:分析武汉城市圈内医疗服务共享的障碍,提出促进城市圈卫生一体化建设发展的建议。方法:通过个人访谈和文献查阅收集资料,运用鱼骨图分析法,对影响因素进行分析。结果:影响城市圈医疗服务共享的因素分为政府因素、社会因素、医疗机构因素。政府方面有区域卫生规划不合理、配套政策不完善、投入不足、信息化建设落后、监管机制不健全等;社会因素方面有经济发展不均衡、医保体系矛盾、群众择医观念等;医疗机构层面有经济利益冲突、医务人员积极性不高等。结论:建议通过加强区域卫生规划,完善相关法律法规,推进信息化建设等措施,多项并举促进城市圈内医疗服务共享,加快卫生一体化进程。Objective: Through analyzing the obstacles of medical services sharing in urban circle to provide advice on promoting the development of integrated urban circle health system. Methods:By in-depth interview and literature review, the influence factors were analyzed by fish bone diagram. Results:Factors which affect the medical service sharing could be divided into government factors, social factors and hospital factors. Government factors included irrational regional health planning, imperfect support policies, inadequate financing, backward information system and incomplete regulation. Social factors included imbalanced economic development, the conflicting medical insurance system and the preference of hospital selection. Hospital factors included the conflict of interest and the low enthusiasm of medical staff. Conclusions:It is considered to strengthen regional health planning, improve related law and regulations, promote information system construction to push along the schedule of medical service sharing in urban circle and integrated health system.

关 键 词：城市圈 卫生资源 医疗服务体系 

分 类 号：R197.1[医药卫生—卫生事业管理]