医联体协同治理的生成路径与实现策略  

Generation Pathway and Implementation Strategy of Medical Alliance Governance

作　　者：李雪 熊季霞 王兆娟 LI Xue;XIONG Jixia;WANG Zhaojuan(School of Health Economics and Management,Nanjing Medical University,Nanjing Jiangsu 210023,China;不详)

机构地区：[1]南京中医药大学卫生经济管理学院,江苏南京210023

出　　处：《卫生经济研究》2022年第12期4-7,共4页

基　　金：国家自然科学基金资助项目“新医改背景下公立医院法人治理结构对综合绩效影响的理论和实证研究”(71203101);江苏省卫生健康人事人才管理课题“公立医院绩效考核与分配科学化研究”(RSRC201910)。

摘　　要：医联体建设与运行具有跨域性、系统性、复杂性的特点,需要多元主体参与协同治理。医联体协同治理包括政府主导的纵向协同、利益相容的横向协同、责任共担的内外协同三条生成路径,但面临政府权力让渡困难、激励约束落实困难、自主治理参与困难、协同精神培育困难的实践困境,基于此,提出医联体协同治理的实现策略。The construction and operation of medical alliance are characterized by cross-domain,systematic and complex,which requires multiple subjects to participate in collaborative governance.Medical alliance collaborative governance includes government-led longitudinal coordination,interests compatible horizontal coordination,and responsibility of internal and external coordination.However,it faces difficulties in government power transfer,implementation of incentive constraints,participation in independent governance,and cultivation of collaborative spirit.It is necessary to put forward the realization strategy for medical alliance collaborative governance.

关 键 词：医联体 协同治理 治理机制 路径 

分 类 号：R19[医药卫生—卫生事业管理]