基层医务人员视角的紧密型医联体建设效果评价与分析  

Evaluation and Analysis of the Effect of Tight Medical Alliance Construction from the Perspective of Medical Staff in Primary Hospitals

作　　者：魏毅[1] 马莉[1] 刘佳 曾一琼[2] 刘延一[2] WEI Yi;MA Li;LIU JIA;Zing Yi qiong;LiuYanyi(West China Hospital of Sichuan University,Chengdu 610041,Sichuan,China)

机构地区：[1]四川大学华西医院,四川成都610041 [2]成都市龙泉驿区第一人民医院,四川成都610000

出　　处：《川北医学院学报》2020年第3期538-541,546,共5页Journal of North Sichuan Medical College

基　　金：成都市科技局技术创新研发项目(2020-YF05-00031-SN)。

摘　　要：目的:分析基层医务人员对医联体建设方式的意见及对医联体运行效果的评价,探讨促进医联体建设的对策。方法:以四川省某大型三甲医院的5个紧密医联体单位在岗职工为调查对象进行问卷调查,采用描述性统计方法、卡方检验和秩和检验进行统计分析。结果:选择管理团队组合方式以“医疗+护理+运管”为宜的占比(79.6%)最高;选择学科主任与专科联盟相结合模式医联体的占比(75.9%)最高;医联体建设效果利大于弊,不同地区、不同人群对医联体建设效果的评价分布差异有统计学意义。结论:“医疗+护理+运管”的派驻方式得到普遍认可,派驻前应进行针对性培训;学科主任和专科联盟各有利弊,两种方式有机结合最好,应逐步建立健全相关的管理机制;医联体建设已初显成效,医联体运行效果获得医务人员认同,但具体方式应因地制宜,对效果的客观评价还需进一步研究。Objective:To analyze the opinions of medical staff in primary hospitals on the construction mode and evaluate the operational effects of medical alliance,explore the strategies to promote the construction of medical alliance.Methods:A questionnaire survey was conducted among the employees from five tight medical alliance institutions of a large-scale level three hospital in Sichuan Province.The descriptive statistical method,chi-square test and rank sum test were used for statistical analysis.Results:79.6%of medical staff believed that the management team composed by“doctor+nurse+operation manager”was most appropriate.75.9%medical staff believed that the combined teamconsisted of department directors and specialist leagues was appropriate.The advantages of the construction of medical alliance outweigh the disadvantages.There are statistically significant differences in the distribution difference of effect evaluation of medical association construction in different regions and different populations.Conclusion:The“doctor+nurse+operationmanager”modeis generally recognized,targeted training should be carried out before accreditation.The department-director mode and the specialist-league mode have their own advantages and disadvantages.The combination of these two modes is the best way to implement medical alliance.Relevant management mechanisms should be gradually established and improved.The construction of medical alliance has achieved initial success whichhas been recognized by medical personnel,but the specific methods should be adapted to local hospitals and the evaluation of the effects needs further research.

关 键 词：医改 紧密型医联体 效果评价 

分 类 号：R197[医药卫生—卫生事业管理]