我国医疗联合体建设问题分析及改革路径选择  

Problem analysis and choice of reform path of medical alliances in China

作　　者：方鹏骞[1,2] 周亚旭 

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 [2]华中科技大学健康政策与管理研究院(智库)

出　　处：《中华医院管理杂志》2017年第12期881-884,共4页Chinese Journal of Hospital Administration

基　　金：国家社会科学基金重大项目（15ZDC037）

摘　　要：以整合思想创新医疗卫生服务供给模式的医疗联合体（以下简称医联体），是改善我国医疗资源分布不均衡和促进分级诊疗的关键。对我国医联体建设实践进行了分析，指出医联体建设存在机构间协作联动不紧密、分级诊疗就医格局尚未形成、全科医生不足、缺乏配套政策保障措施等问题，提出现阶段医联体建设应构建基于利益共享机制的紧密型医联体、创建分级诊疗-预防-康复-养老一体化的医联体模式、加强全科医生培养、完善相关配套措施。Medical alliance refers to a medical consortium innovating the existing medical and health service model （ alliance as below）, which is key to improving the unbalanced distribution of medical resources and promoting the hierarchical diagnosis and treatment in our country. This article analyzed the practice of alliances development in China and pointed out existing problems including insufficient inter-agency collaboration, poor progress of the hierarchical diagnosis and treatment system, and shortage of general practitioners and supporting policies. In the end, a series of measures is proposed namely building a compact alliance, creating a model integrating hierarchical diagnosis and treatment-prevention-rehabilitation- aging care. stren-heninz -eneral oractitioner traininz, and imorovinz relevant suonorting measures.

关 键 词：医疗联合体 现状 问题 对策 

分 类 号：R197.1[医药卫生—卫生事业管理]