基于医疗集团的紧密型县域医疗共同体实践与探索  

Practice and exploration of compact county medical consortium based on medical group

作　　者：朱晓强[1] 张华[1] 高恒[1] 龚海[1] 许兴龙 Zhu Xiaoqiang;Zhang Hua;Gao Heng;Gong Hai;Xu Xinglong(Jiangyin People′s Hospital,Jiangyin 214400,China;School of Management,Jiangsu University,Zhenjiang 212000,China)

机构地区：[1]江阴市人民医院,江苏省江阴市214400 [2]江苏大学管理学院,江苏省镇江市212000

出　　处：《中华医院管理杂志》2021年第4期275-279,共5页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金(71904066);江苏省卫生健康委管理项目(GG2017011);江阴市卫生健康委管理项目(S201904)。

摘　　要：紧密型县域医疗共同体(以下简称医共体)建设是整合县域医疗资源、提升县域诊疗能力、建立健全分级诊疗制度的有效形式,是国家政策导向,也是社会实践需求。基于江阴市地方经济发达、整体优质医疗资源充足、居民健康需求较高的现实背景,江阴市人民医院医疗集团因地制宜,探索紧密型县域医共体建设实践。集团以落实医疗机构功能定位、提升基层服务能力、理顺双向转诊流程为重点,通过建机制、强基层、优流程、重衔接四大举措,完善医共体组织架构和运行机制,不断提升医共体管理水平和服务内涵,初步实现建立统筹管理模式、提高基层服务能力、形成上下协作机制的目标。The construction of compact county medical consortium is an effective way to integrate county medical resources,improve county diagnosis and treatment capabilities,and establish and improve the hierarchical diagnosis and treatment system.It is the guidance of national policy and the demand of social practice.Based on the reality of Jiangyin′s developed local economy,sufficient overall high-quality medical resources and high health demand of residents,Jiangyin People′s Hospital Medical Group explored the construction practice of compact county medical consortium according to local conditions.The group focused on implementing the functional positioning of medical institutions,improving the primary service ability,and straightening out the two-way referral process.Through the four major measures of establishing mechanism,strengthening the primary level,optimizing the process,and focusing on convergence,the group improved the organization structure and operation mechanism,continuously improved the management level and service connotation of the medical consortium.The goal of establishing an overall management mode,improving primary service capabilities,and forming an up-down cooperation mechanism had been initially realized.

关 键 词：卫生保健提供 联合 紧密型医疗共同体 医疗集团 统筹模式 社会经济因素 

分 类 号：R197.1[医药卫生—卫生事业管理]