医联体建设的实践探索与思考——以武汉协和医院西院为例  

Practical Exploration and Thinking on Medical Alliance:Taking the West Campus of Union Hospital of Tongji Medical College as an Example

作　　者：刘杨正 熊占路 陈庆[1] 蔡俐琼 汪宏波[1] 彭义香[1] 程范军[1] 王华 金艳 郜勇[1] LIU Yangzheng;XIONG Zhanlu;CHEN Qing;CAI Liqiong;WANG Hongbo;PENG Yixiang;CHENG Fanjun;WANG Hua;JIN Yan;GAO Yong(Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院,湖北武汉430022

出　　处：《中国社会医学杂志》2023年第4期388-391,共4页Chinese Journal of Social Medicine

基　　金：国家重点研发计划项目(2020YFC2006000)。

摘　　要：以武汉协和医院西院牵头构建的医联体为案例,分析其建设现状及存在的问题。通过研究发现,业务管理型医联体模式亦可提升基层医疗机构的服务能力,并能促进双向转诊的实现,但也面临财政、医保等政策壁垒,存在缺乏绩效激励机制及资源投入等问题。为更好地推进医联体建设,建议推广一体化业务管理紧密型医联体模式,从医保支付、资源投入、绩效考核、多部门协同、信息化建设等方面完善配套措施,协同开展医防融合、医养结合工作。This paper took the medical alliance led by the West Campus of Wuhan Union Hospital as an example to analyze its construction status and existing problems.Through the research,it found that the business management medical alliance model could improve the service capacity of primary medical institutions and promote the realization of two-way referral,but it also faced policy barriers such as finance and medical insurance,and there were problems such as lacking of performance incentive mechanism and resource investment.In order to promote the construction of medical alliance,it recommend to promote the integrated business management and close medical alliance model,improve supporting measures in terms of medical insurance payment,resource investment and performance assessment,multi-department coordination,information construction,etc.,and carry out coordinated deve-lopment medical-prevention integration and medical-care integration work.

关 键 词：医联体 分级诊疗 医保 绩效考核 

分 类 号：R197.3[医药卫生—卫生事业管理]