医疗联合体的发展困境与对策建议
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摘要
医疗联合体是推进区域医疗服务一体化、同质化、便捷化的重要载体,是构建现代医疗服务系统的重要组成部分。目前,医疗联合体的建设多由三级医疗机构发起或由行政部门主导推进,医疗联合体在实际运行中,也存在着合作方的目标价值导向不一致,合作的内生动力不足,协同服务的效率不高等问题。笔者通过对医疗联合体运行中存在的问题分析,阐释医联体建设所面临的现实困境。提出通过完善政策设计,加强对医联体建设的合理引导,健全运行机制增强上下级医疗机构之间的互动合作。
Medical consortium is an important carrier to promote the integration,homogenization and convenience of regional medical services and an important part of constructing modern medical service system.At present,the construction of medical consortium is mostly initiated by three-level medical institutions or promoted by administrative departments.In the actual operation of medical consortium,there are also problems such as inconsistent goal value orientation of partners,insufficient endogenous impetus of cooperation and low efficiency of collaborative service.Through the analysis of the problems existing in the operation of medical consortium,the author explains the practical difficulties faced by the construction of medical consortium.Strengthening the reasonable guidance for the construction of medical consortium,improving the operating mechanism and enhancing the interaction and cooperation between the upper and lower medical institutions through improving policy designare proposed.
Medical consortium is an important carrier to promote the integration,homogenization and convenience of regional medical services and an important part of constructing modern medical service system.At present,the construction of medical consortium is mostly initiated by three-level medical institutions or promoted by administrative departments.In the actual operation of medical consortium,there are also problems such as inconsistent goal value orientation of partners,insufficient endogenous impetus of cooperation and low efficiency of collaborative service.Through the analysis of the problems existing in the operation of medical consortium,the author explains the practical difficulties faced by the construction of medical consortium.Strengthening the reasonable guidance for the construction of medical consortium,improving the operating mechanism and enhancing the interaction and cooperation between the upper and lower medical institutions through improving policy designare proposed.
引文
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[2] 龙美元,李爱勤,李凤辉,等.建设信息化标准化的湖南儿科医联体[J].中国数字医学,2018,13(1):21-23.
[3] 刘定刚,王净.医联体相关主体竞争性与合作性的关系[J].医学与哲学,2018,39(3):49-53.
[4] 朱恒鹏.分级诊疗难形成根源在医疗不在医保[J].中国医疗保险,2017(5):20-22.
[5] 吴本初,阮明,高鸽,等.洛阳市某医疗联合体双向转诊工作运行现状分析[J].医学与社会,2017,30(3):9-12.
[6] 黄曦,楼烨,郭露华.医疗联合体的发展路径与政策支持:以福建省为例[J].福建医药杂志,2018,40(1):140-141.
[7] 陈玲丽,余昌胤,刘仕方,等.新型农村合作医疗居民对医疗联合体的利益诉求分析[J].中国医院管理,2016,36(5):4-7.
[8] 陈静,夏述旭.紧密型医疗联合体人力资源配置与共享关键问题分析[J].中国医院管理,2018,38(2):50-52.
[9] 王成.构建以制度建设为核心的医联体管理体系[J].卫生经济研究,2016,12(9):17-19.