我国医联体协同关系的构建和完善——制度约束和策略选择  

The construction and improvement of synergy relationship among medical alliances in China:Institutional constraints and strategy choice

作　　者：曹琦[1] 崔兆涵 CAO Qi;CUI Zhao-han(School of Public Administration and Policy, Renmin University of China, Beijing 100872, China)

机构地区：[1]中国人民大学公共管理学院,北京100872

出　　处：《中国卫生政策研究》2021年第6期7-13,共7页Chinese Journal of Health Policy

基　　金：中国人民大学公共健康与疾病预防控制跨学科交叉重大创新平台。

摘　　要：“协同性”不足是医联体建设的瓶颈。本文根据协同理论识别影响组织协同关系的两个关键因素——“目标一致性”和“权力均衡性”,并基于此对我国实践中医联体的不同协同模式进行剖析,对医联体建设的制度约束进行解构,提出推进医联体建设的协同策略和发展方向。本文认为受限于不同机构权力结构不均衡的制度约束,组织一体型协同模式是我国十四五时期推进医联体建设的主要方向,需要进一步打造组织一体化条件下的利益融合、区域整体治理条件下的跨部门协同和治理现代化条件下的机制协同。Lacking of“synergy”among different organizations is a widely recognized as the bottleneck of the construction of medical alliance.Based on the systematic analysis of organizational collaboration theories,this study identified“goal consistency”and“power balance”as the two key factors that affect the inter-organizational collaboration and establishes a new theoretical classification of synergy relationship.On this basis,this study analyzed the different synergy modes of medical alliances in practice,further deconstructed the institutional constraints,and put forward strategies and development direction of promoting medicine alliance in China.Limited by the institutional constraints of unbalanced power structure within most medical alliances,this paper argues that the organizational integration should be the promoted as a predominating model over the others in the 14th Five Year Plan period.In terms of institutional conditions and mechanism improvement,it is necessary to further build interest consistency under the condition of organizational integration,to strengthen the cross-departmental collaboration under the condition of territorial holistic governance and to establish the collaboration of mechanisms under the condition of modern governance.

关 键 词：医联体 协同关系 区域整体治理 组织一体化 

分 类 号：R197[医药卫生—卫生事业管理]