基于整合理论的农村地区医疗机构层级间的良性互动探讨  

Discussion on the Virtuous Interaction among the Hierarchical Medical Institutions in Rural Areas Based on the Theory of Integration

作　　者：吴悦[1] 张亮[1] 

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,武汉430030

出　　处：《中国卫生经济》2017年第3期8-11,共4页Chinese Health Economics

基　　金：国家自然科学基金项目(71273099)

摘　　要：目的:基于整合理论与系统思维,探索农村地区医疗机构层级间的互动内容并构建其良性互动。方法:采用文献研究的方法,从中国知网、万方与维普等网络学术平台收集相关文献。结果:整合与互动有着紧密的联系,农村地区的医疗机构层级间互动主要包括资源互动、管理互动与服务互动等,农村三级医疗机构是互动的主体。结论:实现医疗卫生服务的质量与安全是良性互动的最终目标,加强卫生人才队伍建设与资本流通、理顺农村三级医疗机构利益与一体化管理、试点区域化双向转诊与上下联动等都有助于良性互动的构建。Objective： To investigate the content of interaction and construct the virtuous interaction among the hierarchical medical institutions in rural areas based on the theory of integration anti system thinking. Methods： Literature research were applied to analyze the interaction with the use of the CNKI, WanFang and Vip. Results： Interaction was closely related to integration, and the interaction among the hierarchical medical institutions in rural areas mainly included resource interaction, management interaction and service interaction, whose subject was the rural three-level medical institutions. Conclusion： The ultimate goal of virtuous interaction was the quality and safety of the health service. Specific measures of the virtuous interaction included strengthening the construction of health personnel and capital flows, combing the interests of rural three-level medical institutions and integrated management, regionalization of two-way referral and upper-and-lower linkage.

关 键 词：整合理论 医疗服务提供 医疗机构 层级互动 分级诊疗 

分 类 号：R197.62[医药卫生—卫生事业管理]