摘要
目的:探究湖北省县域医共体内部机制和高质量发展成效。方法:采用目的抽样方法,调研2家县级医院、3家乡镇卫生院和2个市卫生行政部门。采用质性研究的扎根理论方法,使用NVivo软件分析访谈材料。结果:县级医院主导与兜底作用、乡镇卫生院的枢纽作用、村卫生室的基层作用与政府部门的协同作用是县域医共体建设的核心要素。结论:湖北省县域医共体高质量发展成效显著,落实了分级诊疗制度,强化了基本公共卫生服务,形成了整合型医疗卫生服务体系,符合湖北省县域医共体建设的阶段目标,但后期发展仍需警惕虹吸作用与内部不合理的资源分配机制。
Objective:To explore the internal mechanism and quality development effect of the county medical consumption linkage in Hubei Province.Methods:Two county-level hospitals,three township hospitals and two municipal health commissions were investigated by purposive sampling.The grounded theory approach of qualitative research was used to analyze the interview materials using NVivo software.Results:The core category of this study is the high-quality development of the county-level medical consumption linkage.The leading role of county-level hospitals,the pivotal role of township health centers,and the grassroots role of village clinics are elaborated in detail,with emphasis on the unified management and resource subsidence of the medical consumption linkage.Conclusions:The high-quality development of medical cooperatives in Hubei Province has achieved remarkable results.Hierarchical medical system and basic public health services have been implemented,and an integrated medical and health service system has been formed,which is in line with the stage goal of the construction of county medical consumption linkage in Hubei Province.However,the siphoning effect and unreasonable internal resource allocation mechanism still need to be vigilant in later development.
作者
邹伟能
陈超亿
谢平茹
胡琪骏
闫子麒
冯占春
ZOU Weineng;CHEN Chaoyi;XIE Pingru;HU Qijun;YAN Ziqi;FENG Zhanchun(School of Medicine and Health Management,Tongji Medical College of HUST,Wuhan,Hubei Province,430030,PRC)
出处
《中国医院》
北大核心
2023年第4期28-32,共5页
Chinese Hospitals
基金
国家自然科学基金(72074088)。
关键词
湖北省
县域医共体
扎根理论
高质量发展
Hubei Province
county medical consumption linkage
grounded theory
high quality development
