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农村卫生服务纵向整合实例分析——以江苏省大丰市为例
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| 投稿时间： 2014-05-13 最后修改时间： 2014-09-01 摘要点击次数: 3519 全文下载次数: 1503 |
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| 引用本文：田淼淼, 徐向东, 朱坤,等.农村卫生服务纵向整合实例分析——以江苏省大丰市为例[J].中国卫生政策研究,2014,7(10):58-63 |
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| 田淼淼1, 徐向东2, 朱坤1, 张小娟1, 穆辰1, 卞晓莉2, 杨维平2 |
1. 中国医学科学院医学信息研究所/卫生政策与管理研究中心 北京 100020;
2. 江苏省大丰市卫生局 江苏盐城 224000 |
| 基金项目:中央级公益性科研院所基本科研业务费项目(13R0113) |
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| | 摘要:目的:以江苏省大丰市为例,分析农村卫生服务纵向整合的现状及效果.方法:收集该市实施农村卫生服务纵向整合的政策文件及2012—2013年相关数据,开展相关人员访谈了解整合现状.结果:大丰市纵向整合以虚拟联合的形式开展,组建市级医疗志愿服务团队6支、乡镇卫生院健康管理团队52支;推行紧密型一体化管理,开展乡村医生签约服务,基本建立乡村统一的服务规范及规章制度;率先开通使用居民健康卡,基本实现诊疗信息区域共享.结论:大丰市农村卫生服务在县乡之间和乡村之间分别通过技术协作和托管予以整合,探索以健康管理服务团队为纽带,以紧密型乡村一体化管理为支撑,以乡村医生签约服务为拓展,以居民健康卡为载体,能够为农村卫生服务纵向整合提供借鉴,但仍需进一步加强乡镇卫生院卫生服务能力、明确机构间利益分配关系、整合卫生服务规范并强化卫生信息化管理系统的共享和对接. | |
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关键词:农村卫生服务 纵向整合 实证研究
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| Situation and effect of vertical integrated of rural health services:A case study in Dafeng County of Jiangsu Province |
| TIAN Miao-miao1, XU Xiang-dong2, ZHU Kun1, ZHANG Xiao-juan1, MU Chen1, BIAN Xiao-li2, YANG Wei-ping2 |
1. Institute of Medical Information, Center for Health Policy and Management, Chinese Academy of Medical Sciences, Beijing 100020, China;
2. Health Bureau of Dafeng, Yancheng Jiangsu 224000, China |
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| | Abstract:Objective: To analyze the current situation and effect of vertical integrated of rural health services in Dafeng County. Method: Policy documents and data are collected and interviews are implemented for studying the integrated situation. Results: The vertical integration in Dafeng County is virtual joint form with forming 6 city-level medical volunteer service teams and 52 health management teams. With the implementation of fully integrated management, signing service with rural doctor mode is carried out, which promote the establishment of rural unified service standards and regulations. Using health card of residents which promote the regional shared of treatment information. Conclusions: Vertically integrated mode had connection in health management teams, supported by fully integration, developed by signing service with rural doctor and carried by residents' health card, which could provide reference for implementing vertical integration of rural health service. But strategies needed to be strengthened in improving health services' ability of township hospitals, clarifying interest relationship as well as integrating health service regulations and strengthen the health information system for sharing and docking. | |
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