医院托管模式对服务能力提升影响研究——基于被托管医院视角  

Operation status and influence of hospital trusteeship on service capability improvement——from the perspective of the trustee hospital

作　　者：代安琪 周雅婷 陈林 张柠 Dai Anqi;Zhou Yating;Chen Lin;Zhang Ning(School of Public Health,Capital Medical University,Institute of Hospital Management,Capital Medical University,Beijing 100069,China;Department of Neurosurgery,West Area,Tongliao Hospital of Inner Mongolia Autonomous Region,Tongliao 028000,China)

机构地区：[1]首都医科大学公共卫生学院、首都医科大学医院管理研究所,北京100069 [2]内蒙古自治区通辽市医院西院神经外科,通辽028000

出　　处：《医学教育管理》2022年第2期242-249,共8页Medical Education Management

基　　金：北京市社会科学基金研究基地重点项目:托管模式下北京市优质医疗资源下沉效果研究(18JDGLA006);北京市社会科学基金重点项目:北京市医疗机构上下联动作用机制研究(18GLA007)。

摘　　要：医院托管是促进优质医疗资源扩容、均衡资源布局的有效路径。为进一步探究不同类型医院托管效果,研究选取了3组典型样本,对被托管医院所在区卫健委、被托管医院相关负责人开展半结构式访谈。运用扎根理论,对访谈资料进行三级编码,最终梳理出38个概念、17个子范畴、4个主范畴。发现被托管医院在规范管理、医疗服务、学科布局与发展等方面改善明显,医院发展资金投入、机构文化差异等使得受托方与被托管医院的融合受限。建议主管部门推动托管相关配套政策的出台,推进机构间共享数据平台建设,促进受托方与被托方加强文化融合,形成利益共同体,进一步提高优质医疗资源下沉效果,满足区域居民多层次医疗服务需求。Hospital trust is an effective way to promote the expansion of high-quality medical resources and the balanced distribution of resources. In order to further explore the effects of different types of hospital trusteeships, three typical samples are selected, and semi-structured interviews are conducted with the district health committee and relevant persons in charge of the trustee hospital. Using Grounded Theory, three levels of coding were carried out on the interview data, and finally 38concepts, 17 sub-categories, and 4 main categories were sorted out. It is found that the managed hospital has improved significantly in terms of standardized management, medical services, discipline layout and development;and the integration between the trustee and the entrusted hospital is limited by the investment in hospital development funds and institutional cultural differences. It is recommended that the competent authority should facilitate the introduction of supporting policies related to custody, encourage the construction of the data sharing platform between institutions, promote the enhancement of cultural integration between the trustee and the entrusted. As a result, forming a community of interests, further improving the sinking effect of high-quality medical resources, and meeting the multi-level medical services of regional residents need.

关 键 词：扎根理论 医院托管 服务能力 运行现状 

分 类 号：R197.3[医药卫生—卫生事业管理]