| |
|
|
| |
| 投稿时间： 2015-08-07 最后修改时间： 2015-09-11 摘要点击次数: 2953 全文下载次数: |
| |
| 引用本文：张鲁豫, 朱炜明, 马慧芬,等.青海省湟中县医疗联合体改革实践[J].中国卫生政策研究,2015,8(10):24-28 |
|
| 张鲁豫, 朱炜明, 马慧芬, 金音子, 何莉, 岳大海, 孟庆跃 |
| 北京大学中国卫生发展研究中心 北京 100191 |
| 基金项目:世界银行资助——OECD以及中等收入国家以人为本的卫生服务案例研究 |
| |
|
| | 摘要:我国西部经济相对不发达的县级地区普遍面临着县域内医疗服务体系碎片化,乡镇卫生院医疗卫生服务能力严重不足的问题。在有限的公共财政资源约束下,如何提高乡镇卫生院服务能力,改善医疗服务体系的服务质量、连续性和便利性成为我国县级医疗卫生体系改革的现实挑战。本文以青海省湟中县为典型案例,调研当地通过医疗服务联合体纵向整合县域医疗资源的改革实践,分析其行政管理一体化、人力资源整合、双向转诊、信息系统互联互通以及资源与检查结果共享等方面的改革措施及相应结构特点,为我国类似地区改革提供参考案例。 | |
|
|
关键词:医疗联合体 改革 纵向整合
|
| |
| The practice of health care alliance in Huangzhong county, Qinghai province |
| ZHANG Lu-yu, ZHU Wei-ming, MA Hui-fen, JIN Yin-zi, HE Li, YUE Da-hai, MENG Qing-yue |
| China Center for Health Development Studies, Peking University, Beijing 100191, China |
| |
|
| | Abstract:The fragmentation of health care system within a county and serious capacity constraints of healthcare services in township health centers are generally the most significant problems facing underdeveloped counties in western China. Under constraints of limited public financial resources, how to increase service capability of township health centers and improve service quality, continuity and convenience of health care system has become one of the most severe challenges in implementing China's county health care system reform. This paper takes Huangzhong county, Qinghai province as a case study. It investigates how the locals use health care alliance to vertically integrate county health care resources during reform implementation, analyzes various aspects of reform measures and the corresponding structural characteristics such as the integration of administrative management, integration of human resources, dual diagnosis referral, interoperability of information systems, sharing of resources and test results, etc., and provides similar China's counties with a case study to be used for reference. | |
|
|
|
|
