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城乡紧密型医共体建设的困境与路径

The dilemma and path of building a compact medical community in urban and rural areas
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摘要 文章对照城乡紧密型医共体责任共担、协同管理、服务互通、利益共享的运行特征,指出当前紧密型医共体建设还面临着医疗需求扩张与服务供给主体松散并存、多元主体参加与监督管理机制不全并存、群众健康期望与服务供给质量偏低并存、新型服务供给与内部协调机制短缺并存的现实困境,提出制度建设、监督管理、服务提升、内部控制四个方面优化路径。 In contrast to the operational characteristics of shared responsibility,collaborative management,service interoperability,and benefit sharing in urban and rural compact medical communities,the current construction of compact medical communities still faces practical difficulties,such as the coexistence of expansion of medical demand and the loose entities of service supply,participation of multiple entities and insufficient supervision and management mechanisms,health expectations of the public and inferior quality of service supply,as well as the supply of new healthcare services and shortage of internal coordination mechanisms.It is necessary to optimize the paths from the aspects of institutional improvement,supervision and management,service improvement,and internal control.
作者 杨晓霞 YANG Xiaoxia(Nanjing Second Hospital,Nanjing,Jiangsu 210003,China)
机构地区 南京市第二医院
出处 《中国农村卫生事业管理》 2024年第9期669-673,共5页 Chinese Rural Health Service Administration
关键词 城乡紧密型医共体 同质化发展 运行特征 服务提升 现实困境 优化路径 Urban-rural compact medical community Homogeneous development Operational characteristics Service improvement Dilemma Optimized path
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