县域医共体建设的发展、现状及对策  

Development of county medical community:The evolution,status quo and countermeasures

作　　者：胡晓先[1] HU Xiaoxian(Feixi County Center for Disease Control and Prevention,Feixi,Anhui 231200,China)

机构地区：[1]肥西县疾病预防控制中心,安徽肥西231200

出　　处：《中国农村卫生事业管理》2024年第6期418-423,共6页Chinese Rural Health Service Administration

摘　　要：开展紧密型县域医共体建设,是提高县域医疗卫生资源配置和使用效率,推动构建分级诊疗秩序的重要举措,各地在探索过程中取得了一定成效,但是存在部分医共体建设并未真正落地、政策缺乏系统性、管理体制运行机制不健全、医保联动效应未发挥、信息化支撑不匹配、公共卫生被忽视等问题。文章建议县域医共体建设需进一步理顺管理体制和治理机制、强化医保支撑、与医联体协同推进、促进服务同质化、实行医防融合、开展监测评价等,为县域医共体可持续发展提供参考。The development of a compact county medical community is an important measure to improve the allocation and utilization efficiency of county⁃level health resources and promote the construction of ordered hi⁃erarchical diagnosis and treatment.Achievements have been made across the nation in the exploration process.However,some problems remain,such as unimplemented construction,lack of systematic policies,incomplete management and operation mechanisms,unfulfilled interactive development,mismatched information support,and neglected public health.The article suggests that the construction of county medical community should further stre⁃amline management systems and governance mechanisms,strengthen medical insurance support,and collaborate with medical consortia to promote service homogenization,implement integration of medical services and preven⁃tion,and carry out monitoring and evaluation,providing reference for the sustainable development of county medi⁃cal community.

关 键 词：县域医共体 医联体 分级诊疗 现状 对策 

分 类 号：R197[医药卫生—卫生事业管理]