紧密型托管模式下优质医疗资源下沉的实践与探索  

Practice and exploration of high-quality medical resources sinking under tight trusteeship mode

作　　者：董旭强 李玉明[1] 陈祥华 DONG Xuqiang;LI Yuming;CHEN Xianghua(Medical Department of Pingdu Hospital,The Affiliated Hospital of Qingdao University,Qingdao 266701,China)

机构地区：[1]青岛大学附属医院平度院区医务处,山东青岛266701 [2]青岛大学附属医院党委办公室

出　　处：《精准医学杂志》2024年第1期56-58,62,共4页Journal of Precision Medicine

基　　金：山东省医药卫生科技发展项目(2018WS382)。

摘　　要：目的探讨紧密型托管模式的特点及优势,为推动优质医疗资源下沉提供经验和建议。方法通过文献分析,梳理出我国医院托管改革的历程及特点,结合“结构-过程-结果”理论,通过比较研究法,比较分析紧密型、半紧密型和松散型托管模式的差异,归纳总结出紧密型托管模式的主要特点及优势;并通过对山东省某大型省属三甲公立医院紧密型托管模式的案例剖析,深入探讨紧密型托管模式的具体实践措施、成效及存在的问题。结果紧密型托管模式通常是政府全面托管,托管医院按照院区形式实行统一领导,在人事管理、财务管理、业务管理、信息化等方面趋于一体化、同质化,托管关系较为稳定,实施效果较好。结论紧密型托管模式更有利于实现大型公立医院品牌、人才、技术、信息等优质医疗资源要素向基层流动,是新时期推动优质医疗资源扩容下沉和区域均衡布局的一种有效方式。Objective To study the characteristics and advantages of the tight trusteeship mode,and to provide expe-rience and suggestions for promoting the sinking of high-quality medical resources.Methods By literature analysis,the process and characteristics of hospital trusteeship reforms in China were summarized.Based on the“structure-process-results”theory,the tight,semi-tight,and loose trusteeship modes were compared using comparative research methods to summarize the main characteristics and advantages of the tight trusteeship mode.Through analyzing a case of tight trusteeship of a large provincial tertiary public hospital in Shandong Province,the specific practical measures,effectiveness,and existing problems of the tight trusteeship mode were discussed.Results The tight trusteeship mode is usually a comprehensive government trusteeship,where the trustee hospital provides a unified leadership to manage the entrusted hospital as a campus,integrating and homogenizing personnel ma-nagement,financial management,business management,informationization,and other aspects,achieving more stable collaboration and better performance.Conclusion The tight trusteeship mode is more conducive to channeling large public hospitals’high-quality medical resources including brand,workforce,technology,and information towards primary medical institutions,which is an effective way to promote the expansion and sinking and regional balance of high-quality medical resources in the new era.

关 键 词：卫生保健改革 医院管理 托管 卫生资源 医院 公立 

分 类 号：R197.3[医药卫生—卫生事业管理]