引用本文:谭华伟, 彭馨怡, 姚辉, 张雪雨, 周乐明, 陈迎春.中国紧密型城市医疗集团建设:典型模式、关键问题与路径优化[J].中国卫生政策研究,2024,17(1):9-16 |
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中国紧密型城市医疗集团建设:典型模式、关键问题与路径优化 |
投稿时间:2023-10-06 修订日期:2023-12-27 PDF全文浏览 HTML全文浏览 |
谭华伟1, 彭馨怡1, 姚辉2, 张雪雨1, 周乐明3, 陈迎春1 |
1. 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030; 2. 霍邱县第一人民医院 安徽六安 237400; 3. 重庆邮电大学计算机科学与技术学院 重庆 400065 |
摘要:本文从治理结构、组织再造、运行模式、机制协同四个方面归纳总结了典型地区紧密型城市医疗集团建设的基本特征。在此基础上,从权责归属失配、动态能力演进失序、激励调适失焦、绩效考评失衡四个方面分析了紧密型城市医疗集团建设的关键问题。最后,从治理体系、能力提升、利益整合、绩效考评四个方面提出优化紧密型城市医疗集团建设的响应策略。 |
关键词:城市医疗集团 典型模式 关键问题 响应策略 |
基金项目:国家自然科学基金面上项目(71974066;72374076) |
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The construction of integrated urban medical groups in China: Typical models, key issues and path optimization |
TAN Hua-wei1, PENG Xin-yi1, YAO Hui2, ZHANG Xue-yu1, ZHOU Le-ming3, CHEN Ying-chun1 |
1. School of Medicine Health Management of Tongji Medical College of Huazhong University of Science and Technology, Wuhan Hubei 430030, China; 2. Huo Qiu First People's Hospital, Liuan Anhui 237400, China; 3. College of Computer Science and Technology, Chongqing University of Posts and Telecommunications, Chongqing 400065, China |
Abstract:This paper outlines the common aspects of constructing integrated urban medical groups, focusing on governance, organizational restructuring, operational modes, and mechanism synergy. It then delves into the challenges in China's group construction, highlighting issues with power-responsibility alignment, capacity evolution, incentive alignment, and performance evaluation. Finally, the paper suggests strategies to enhance China's compact urban medical groups, focusing on governance reform, capacity building, benefit integration, and performance evaluation. |
Key words:Urban medical groups Typical models Key issues Response strategies |
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