利用特色专科优势推动区域医联体发展:上海市某三甲专科医院的困境与思考
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摘要
区域医联体发展是实现分级诊疗的重要举措,专科医院如何利用专科优势推动区域医联体发展是当下议题。以上海市某三级甲等公立专科医院为例,分析其在区域医联体中存在的过程协同、管理协同、资源协同、制度协同等困境。思考基于医联体内部信任,建立基于病种管理的解决策略。
The development of regional medical association is an important measure to realize classification of diagnosis and treatment,and it is a good question on how to use special specialty advantages to promote the development of Regional Medical Union.Taking a tertiary specialized hospital in Shanghai as an example,this paper analyzed the dilemma of management synergy,process synergy,resource synergy and institutional synergy in the regional medical association,summarized the solution strategy based on the types of the diseases.
The development of regional medical association is an important measure to realize classification of diagnosis and treatment,and it is a good question on how to use special specialty advantages to promote the development of Regional Medical Union.Taking a tertiary specialized hospital in Shanghai as an example,this paper analyzed the dilemma of management synergy,process synergy,resource synergy and institutional synergy in the regional medical association,summarized the solution strategy based on the types of the diseases.
引文
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[9]郑雪倩,王安其,王爽,等.基于3所医疗机构实地调研分析我国互联网医疗运行现状[J].中国医院,2016,20(6):8-10.
[10]李婷,郭帅,马天翼,等.“互联网+”视角下的分级诊疗体系构建[J].中国卫生经济,2016,35(12):38-40.
[2]王清波,胡佳,代涛,等.建立分级诊疗制度的动力与阻力分析——基于利益相关者理论[J].中国卫生政策研究,2016,9(4):9-15.
[3]周瑞,肖月,赵琨,等.分级诊疗工作进展及问题浅析[J].中华医院管理杂志,2015,31(9):648-650.
[4]孟德昕,张淑娥,樊超,等.分级诊疗体系运行影响因素的解释结构模型构建[J].中华医院管理杂志,2016,32(7):481-484.
[5]李丽勤,李进,林军,等.分级诊疗背景下发挥医院区域功能的思考[J].中国医院管理,2016,36(1):8-9.
[6]张南,冷志伟,唐月红,等.分级诊疗背景下提升基层医疗机构服务能力的实践[J].中国医院,2016,20(12):69-70.
[7]张蕾,张南,姚华,等.我国分级诊疗新进展及瓶颈[J].中国医院,2016,20(11):66-68.
[8]孟群,尹新,党敬申,等.互联网+分级诊疗模式的思考[J].中国卫生信息管理杂志,2016,13(2):111-114,127.
[9]郑雪倩,王安其,王爽,等.基于3所医疗机构实地调研分析我国互联网医疗运行现状[J].中国医院,2016,20(6):8-10.
[10]李婷,郭帅,马天翼,等.“互联网+”视角下的分级诊疗体系构建[J].中国卫生经济,2016,35(12):38-40.