重庆市中医院紧密型医联体实践及成效  

Practice and achievements of the compact medical consortium at Chongqing Traditional Chinese Medicine Hospital

作　　者：石梦娇 谭婧 林贤梅 周宗玉[2] 周良荣[1] SHI Mengjiao;TAN Jing;LIN Xianmei;ZHOU Zongyu;ZHOU Liangrong(Hunan University of Chinese Medicine,Changsha,Hunan 410208,China;不详)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]重庆市中医院

出　　处：《中国农村卫生事业管理》2025年第3期190-195,201,共7页Chinese Rural Health Service Administration

基　　金：湖南省卫生健康委重大项目(2023A02)。

摘　　要：目的评估2018—2023年重庆市中医院紧密型医联体建设成效,总结经验与不足,提出改进措施。方法通过问卷调查法从基本情况、资源下沉、双向转诊、辐射带动、能力提升、效率提升6个方面收集数据;运用描述性研究法、TOPSIS法、秩和比RSR法及二者模糊联合法对数据进行梳理和分析。结果重庆市中医院通过实施双向转诊、资源下沉、辐射带动等措施,紧密型医联体建设取得一定成效;TOPSIS结果显示,6家区县级中医医院最大Ci值均为2023年;秩和比RSR结果显示,6家区县级中医医院最大RSR值均为2023年;二者模糊联合结果显示,6家医院均为2023年最好。结论4种评价方法结果显示,重庆市中医院紧密型医联体多年实践,帮扶成效明显,但也暴露出在帮扶质量精细化、资源整合度、双向转诊畅通度及长远规划方面的不足,建议以满足成员单位需求为导向,完善对医联体工作的评估、反馈和改进措施,健全责权利明晰的运行管理机制,促进中医优质资源下沉和均衡布局。Objective To evaluate the effectiveness of the compact medical consortium led by Chongqing Traditional Chinese Medicine Hospital from 2018 to 2023,to summarize the experiences and weaknesses,and to propose improvement measures.Methods Data were collected using a questionnaire survey covering six aspects:general information,resource allocation to lower-level institutions,two-way referral,radiation and driving effects,capability enhancement,and efficiency improvement.The data were analyzed using descriptive research methods,TOPSIS(Technique for Order of Preference by Similarity to Ideal Solution),RSR(Rank Sum Ratio)method,and a combined fuzzy approach of both TOPSIS and RSR.Results Chongqing Traditional Chinese Medicine Hospital made certain progresses in the construction of the compact medical consortium through the implementation of two-way referral,resource allocation to lower-level institutions,and radiation and driving effects.The TOPSIS analysis results showed that the maximum Ci values for six district and county-level TCM hospitals were all in 2023.The RSR analysis results indicated that the maximum RSR values for these six hospitals were also in 2023.The combined fuzzy approach results showed that all six hospitals performed best in 2023.Conclusions The results from the four evaluation methods demonstrated that the compact medical consortium led by Chongqing Traditional Chinese Medicine Hospital has achieved significant successes over the years.However,some shortcomings were identified including deficiencies in the quality of assistance,resource integration,smoothness of two-way referral,and long-term planning.It is recommended to focus on meeting the needs of member institutions,improve the assessment,feedback,and improvement mechanisms for the medical consortium,and establish a clear and well-defined operational management system.This will promote the allocation of high-quality TCM resources to lower-level institutions and ensure their balanced distribution.

关 键 词：医联体 紧密型医联体 建设成效 TOPSIS法 秩和比RSR法 

分 类 号：R197[医药卫生—卫生事业管理]