县域医共体模式下龙头医院持续发展策略分析  

Analysis on Sustainable Development Strategy of Leading Hospitals under the County Medical Community Mode

作　　者：路定珍[1,2,3] 陈家应 LU Dingzhen;CHEN Jiaying(Wujin Hospital Affiliated to Jiangsu University,Changzhou,Jiangsu,213017,China;不详)

机构地区：[1]江苏大学附属武进医院,江苏常州213017 [2]徐州医科大学武进临床学院,江苏常州213017 [3]南京医科大学医政学院,江苏南京211166 [4]南京医科大学全球健康研究中心,江苏南京211166

出　　处：《中国卫生质量管理》2023年第7期91-94,共4页Chinese Health Quality Management

基　　金：国家自然科学基金面上项目“基于建立分级诊疗制度目标的家庭医生队伍建设研究”(编号:71874087);江苏省医院协会医院管理创新研究课题“基于DEA模型下的某县域医疗服务共同体的经济运行效益分析与运用”(编号:JSYGY-3-2020-89)。

摘　　要：目的探索县域医共体模式下县区级龙头医院如何可持续发展,并提出相应对策。方法借用案例分析法,分析县域医共体的建设现状与存在问题。结果区域内的龙头医院能够充分发挥医保政策的调控作用,但存在优势学科提升缓慢,上下级医院转诊通道不通畅;医保支付方式的改革未触及核心和龙头医院自身内生发展动力缺乏等问题。结论县域医共体建设中,龙头医院要加强专科建设,不断提升自身服务能力;深化医保支付方式改革,充分发挥医保的调控作用;制订规范化的转诊流程,畅通双向转诊通道;健全绩效考核机制,提高各方参与协作的积极性。Objective To explore the sustainable development of leading hospitals in county medical community,and put forward corresponding countermeasures.Methods The case analysis method was used to analyze the construction status and existing problems of county medical community.Results The leading hospital in the region,gives full play to the regulatory role of medical insurance policies.However,the leading hospital in the county has the problems of slow discipline improvement of dominant subjects,and the obstructed referral channel of upper and lower levels of hospitals.The reform of medical insurance payment mode has not touched the core problems,and the lack of internal development power of leading hospitals.Conclusion In the construction of county medical community,leading hospitals should strengthen the construction of specialties and constantly improve their service capacity.The reform of medical insurance payment methods should be deepened to give full play to the regulatory role of medical insurance.A standardized referral process should be established to smooth two-way referral channels.The performance appraisal mechanism should be improve to increase the enthusiasm of all parties to participate in cooperation.

关 键 词：县域医共体 公立医院 策略分析 

分 类 号：R197.3[医药卫生—卫生事业管理]