长三角一体化背景下多主体协同松散型医疗联合体建设的实践与启示  

Practice and enlightenment of the construction of multi-agent collaborative loose medical alliance under the background of Yangtze River Delta integration

作　　者：钱明平[1] 周晓媛[2] 胡龙军 陈文夷 滕宏飞 王珏 王爱民 顾文荣 牛培勤[1] 李颖川 左克强 Qian Mingping;Zhou Xiaoyuan;Hu Longjun;Chen Wenyi;Teng Hongfei;Wang Jue;Wang Aimin;Gu Wenrong;Niu Peiqin;Li Yingchuan;Zuo Keqiang(Department of Medical Affairs,Shanghai Tenth People′s Hospital,Shanghai 200072,China;West China School of Public Health,Sichuan University,Chengdu 610044,China;Social Affairs Bureau,Wuzhong Economic and Technological Development Zone,Suzhou 215104,China;Department of Healthcare Alliance Management,Shanghai Tenth People′s Hospital,Shanghai 200072,China;Department of Medical Affairs,Yinshanhu Hospital,Wuzhong District,Suzhou 215124,China;Office of Hospital Director,Shanghai Tenth People′s Hospital,Shanghai 200072,China)

机构地区：[1]上海市第十人民医院医务处,上海200072 [2]四川大学华西公共卫生学院,成都610044 [3]苏州市吴中经济技术开发区社会事业局,苏州215104 [4]上海市第十人民医院医疗资源发展处,上海200072 [5]苏州市吴中区尹山湖医院医务科,苏州215124 [6]上海市第十人民医院院长办公室,上海200072

出　　处：《中华医院管理杂志》2022年第6期411-415,共5页Chinese Journal of Hospital Administration

基　　金：上海市卫生健康委员会卫生健康政策研究课题(2020HP11)。

摘　　要：医疗卫生事业是长江三角洲区域(以下简称长三角)一体化发展的重要组成部分。作者以上海市第十人民医院和苏州尹山湖医院合作实践为例,介绍了政府、城市医院、跨省基层医疗机构多主体协作的松散型医疗联合体(以下简称医联体)合作模式。其中,地方政府提供政策、资金保障与指导,上级医院输出管理理念、人才和技术,地方政府所在下级医院通过请进来走出去的方式进行双培养,达到双成长,通过三级医院与基层医院的高落差合作,尹山湖医院得到全面发展。作者认为,多主体协同、跨区域的松散型医联体可充分发挥松散型医联体合作模式的优势,实现多方共赢,对推动长三角医疗卫生事业区域一体化建设具有借鉴意义。Health service is an important part of the integrated development of the Yangtze River Delta.Taking the cooperation practice between Shanghai Tenth People′s Hospital and Suzhou Yinshanhu Hospital as an example,this article introduced the multi-agent cooperation mode of the loose medical alliance including the government,urban hospitals and cross provincial grassroots medical institutions.Among them,the local government provided policy,fund guarantee and guidance,the urban hospital exported management ideas,medicine talents and technologies,and the primary hospital conducted dual training by inviting in and going out to achieve double growth.Through the high gap cooperation between tertiary hospital and primary hospital,Yinshanhu hospital had been comprehensively developed.The loose medical alliance with multi subject coordination and cross region could give full play to the advantages of the loose healthcare alliance mode,achieve multi-win,and have reference significance for promoting the regional integration of medical and health services in the Yangtze River Delta.

关 键 词：卫生保健提供 联合 医疗联合体 长江三角洲区域 一体化 多主体协同 松散型 

分 类 号：R197.32[医药卫生—卫生事业管理]