基于紧密型医联体与目标管理的国家慢性病综合防控示范区建设——以深圳市大鹏新区医疗健康集团为例  

Construction of national demonstration zones for integrated prevention and control of chronic diseases based on a close-knit medical consortium:a case study of Dapeng new district medical and health group,Shenzhen

作　　者：刘超 覃立芬 李昀骏[1] 任力杰 LIU Chao;QIN Lifen;LI Yunjun;REN Lijie(Shenzhen Dapeng New District Medical and Health Group,Shenzhen 518120,China;Institute for Hospital Management,Tsinghua University,Shenzhen 518055,China;Shenzhen Second People's Hospital,The First Affiliated Hospital of Shenzhen University,Shenzhen 518035,China)

机构地区：[1]深圳市大鹏新区医疗健康集团,广东深圳518120 [2]清华大学医院管理研究院,广东深圳518055 [3]深圳市第二人民医院//深圳大学第一附属医院,广东深圳518035

出　　处：《现代医院》2024年第8期1288-1290,1297,共4页Modern Hospitals

基　　金：深圳市大鹏新区医疗健康集团院级基金(DPJTKY202310)。

摘　　要：目的总结大鹏新区国家慢性病综合防控示范区建设经验,为各地区基层慢病管理提供参考依据。方法采取文献研究和案例分析等方法,通过材料描述、数据分析等方式,总结紧密型医联体目标管理经验,为基层建设慢病体系提供建议。结果深圳市大鹏新区通过紧密型医联体与目标管理法,引导优质医疗资源下沉,撬动多部门合作,实现多项慢病防控主要指标数据逐年上升,基层诊疗量占比由31.69%升至57.29%,居民健康素养水平从39.1%增至50.82%,多项考核实现全市第一,并于2023年通过国家慢性病综合防控示范区审查。结论各地区可通过建立紧密型医联体树立共同目标引导优质医疗资源下沉至基层,运用目标管理集中基层各方力量推动慢病管理建设。Objective This study aims to summarize the experience of constructing a national demonstration zone for integrated prevention and control of chronic diseases in Dapeng New District,Shenzhen,in order to provide a reference for grassroots chronic disease management in various regions.Methods Employing literature review and case analysis and using material description and data analysis,the study summarized the experience of target management experience in a close-knit medical consortium and offered suggestions for building a chronic disease system.Results Through close-knit medical consortium and target management method,the primary medical resources in Shenzhen Dapeng New District were optimized,and multi-sectoral cooperation was facilitated.This resulted in an increase in the main index data of chronic disease prevention and control,with the proportion of primary diagnosis and treatment increasing from 31.69%to 57.29%.Additionally,the health literacy rate among residents improved from 39.1%to 50.82%,and several assessments achieved the first place within the city.Conclusion Regions can establish a close-knit medical consortium to set common goals,guiding high-quality medical resources to the grassroots level.By employing target management,they can concentrate effects from various grassroots sectors to advance chronic disease management construction.

关 键 词：慢病管理 多部门合作 目标管理 紧密型医联体 

分 类 号：R197.32[医药卫生—卫生事业管理] R197.7[医药卫生—公共卫生与预防医学]