摘要
目的:调研苏北2个县的紧密型医共体方案制定及实施过程中存在的问题,为类似县域更好地推进紧密型医共体建设提供依据。方法:利用描述法和主题框架法分析定量和定性资料。结果:县域紧密型医共体存在的主要问题为县级医院的专科能力得不到加强、乡镇卫生院能力提升受限、民营医院发展不足,以及医共体推进中领导不够重视、内部信息未能互联互通。结论:提升牵头医院专科能力、突出基层机构专科特色、规范民营医院发展,同时提高医共体的外部治理能力、推进医共体内部信息的互联互通。
Objective To investigate the problems existing in the project establishment and implementation of close medical alliance in two counties in northern Jiangsu,and to provide suggestions for promoting the construction of close medical alliance in similar counties.Methods Quantitative and qualitative data were analyzed by descriptive statistical analysis and thematic framework analysis.Results The close county-level medical alliance has the following problems:the specialized ability of county hospitals is not strengthened,the ability of township hospitals is limited,the development of private hospitals is insufficient,the leaders pay insufficient attention to the promotion of medical alliance,and the internal information is not interconnection.Conclusion Enhance the specialist ability of county hospitals,highlight the specialist characteristics of township hospitals,standardize the development of private hospitals,improve the external governance ability and the interconnection of internal information of medical alliance.
作者
王书平
农圣
胡晔康
黄二丹
WANG Shu-ping;NONG Sheng;HU Ye-kang;HUANG Er-dan(China National Health Development Research Center,China Health Economics Association,Beijing 100044,China)
基金
打造整合型服务体系,提升基层医疗服务能力的体制机制研究(2018-113)。
关键词
紧密型医共体
县医院
乡镇卫生院
民营医院
close medical alliance
county hospital
township hospital
private hospital
