医疗资源地理配置视角下的京津冀区域分级诊疗协同发展研究  

Research on Collaborative Development of Hierarchical Diagnosis in Beijing-Tianjin-Hebei Region under the Perspective of Health Resource Geographic Allocation

作　　者：宋之杰[1] 张丽平 郭燕平[1] 王浩[1] 

机构地区：[1]燕山大学经济管理学院,河北秦皇岛066004

出　　处：《中国卫生经济》2018年第3期50-53,共4页Chinese Health Economics

基　　金：河北省社科基金项目(HB16GL083)

摘　　要：目的:对进一步促进和完善京津冀区域分级诊疗的整体发展起到一定的借鉴作用。方法:收集京津冀区域相关统计数据,分析了京津冀各区(市)医疗资源地理分布现状;以经济水平及医疗资源(基层、医院)作为划分维度,以基层与医院的每千人卫生技术人员数和实有床位数作为医疗资源强弱区域划分指标。结果:京津冀各区(市)医疗资源配置极不平衡。结论:提出了完善京津冀区域分级诊疗协同发展的五点建议:(1)经济发达且强医院地区和经济欠发达且弱医院地区应建立跨区域医联体并搭建"互联网+"分级诊断中心平台;(2)经济发达且弱医院地区和经济欠发达且弱医院地区应发展生态休闲康养产业;(3)经济发达且弱医院弱基层地区应大力开展社会办医;(4)经济欠发达且强医院地区应发展优势专科、扶持弱势专科;(5)经济欠发达且弱基层地区应政府加大扶持力度。Objective： Providing certain references for promoting and improving the overall development of hierarchical diagnosis in Beijing-Tianjin-Hebei Region. Methods： Collecting the statistical clata of Beijing-Tianjin-Hebei？Region, the status quo of health resource geographic allocation was analyzed; viewing economic level and health resource（primary-hospital） as divided dimensions, regarding per 1 000 inhabitants beds and health technical personnel at primary and hospitals as indicators of health resource strong and weak regional division. Results： Health Resource Geographic Allocation was very uneven in Beijing-Tianjin-Hebei？Region. Conclusion： Suggestions on perfecting the hierarchical medical of Beijing-Tianjin-Hebei Region were proposed： （1） building cross-rcgional medical union model and the Internet ＋： hierarchical diagnostic center platform in the strong hospital regions of economically developed and the weak hospital regions of economically undeveloped; （2） developing the ecological leisure health industry in the weak hospital regions of economically developed and the weak hospital regions which was economically undeveloped; （3） carrying out social medical at the weak hospital and the weak primary regions which was economically developed; （4） building the advantaged specialist and supporting the disadvantaged specialist in the strong hospital regions which was economically undeveloped; （5） increasing supports from the government in the weak primary regions which was economically undeveloped.

关 键 词：京津冀协同发展 分级诊疗 医疗资源配置 地理分布 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F207[经济管理—国民经济]