[1]XU Yue,SONG Chao,YU Yinghui.Research on Enhancing the Scientific Management Level and Service Efficiency of County-Level Medical Service Systems: a Case Study of the Medical Community Construction in Anning City[J].Chinese Health Quality Management,2026,33(3):80-84.[doi:10.13912/j.cnki.chqm.2026.33.3.18]
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Research on Enhancing the Scientific Management Level and Service Efficiency of County-Level Medical Service Systems: a Case Study of the Medical Community Construction in Anning City
Chinese Health Quality Management[ISSN 1006-7515/CN CN 61-1283/R] Volume:
33
Number of periods:
2026年3期
Page number:
80-84
Column:
基层卫生质量
Public date:
2026-03-15
- Title:
- Research on Enhancing the Scientific Management Level and Service Efficiency of County-Level Medical Service Systems: a Case Study of the Medical Community Construction in Anning City
- CLC:
- R197.6
- DOI:
- 10.13912/j.cnki.chqm.2026.33.3.18
- Abstract:
- Taking the construction of the closely-knit medical community in Anning City (2018-2024) as a case study, this research explores pathways to enhance the efficiency of county-level medical services by leveraging medical quality control centers, employing a combination of policy analysis and empirical data. The findings reveal that through the establishment of a "vertical management system for specialized supervisors", the implementation of a "dual-track assistance model integrating technology and management", and the integration of multidimensional quality control tools, a four-dimensional linkage mechanism has been formed, encompassing "organizational restructuring, standardization, technological empowerment, and talent support". The medical community witnessed a 73.71% increase in outpatient and emergency visits, a 23.12% rise in hospital discharges, and a surge in two-way referrals from 8 to 1 615 cases. The leading hospital experienced a 7.96% increase in the proportion of level III and IV surgeries, a 31.64% reduction in the average length of stay, and a 30.45% increase in the proportion of surgeries among discharged patients. Taking date in 2020 and 2024 as an example, hospital B saw a 6.48% rise in its CMI value, an 11.96% increase in the number of DRG groups, a 60.85% boost in the proportion of surgeries among discharged patients, and the proportion of level III and IV surgeries rose from 0 to 9.43%. From 2022 to 2024, L community health service center saw an 85.20% increase in the number of discharged patients, an 11.90% rise in the CMI value, and a 56.14% increase in the number of DRG groups. This study provides a replicable model for implementing the "Core Monitoring Indicators for Medical Quality and Safety(2025)".
- References:
- ［1］BAXTER S,JOHNSON M,CHAMBERS D,et al.The effects of integrated care:a systematic review of UK and international evidence［J］.BMC Health Serv Res,2018,18(1):350.［2］陈曼莉,苏波,王慧,等.美国责任医疗组织的制度设计与启示［J］.中国卫生经济, 2015，34(3):94-96.［3］杜雯雯,徐伟,刘萍,等.美国责任医疗组织医疗质量评价体系对我国医共体按人头付费结算考核的启示［J］.中国卫生经济, 2022,41(4):92-96.［4］罗雪燕,李俊.美国责任医疗组织制度对我国构建医联体的启示［J］.卫生经济研究,2017(4):39-42.［5］张亚琳,廖晓阳,赵茜,等.基层整合型医疗服务的国际经验和中国实践［J］.中华全科医学,2021,19(6):887-891.［6］国务院办公厅. 关于推动公立医院高质量发展的意见:国办发〔2021〕18号［EB/OL］.（2021-06-04）［2025-06-17］.https://www.gov.cn/zhengce/conte nt/2021-06/04/content_5615473. htm.［7］国家卫生健康委办公厅. 关于印发“千县工程”县医院综合能力提升工作方案（2021—2025年）的通知：国卫办医函〔2021〕538号［EB/OL］.（2021-10-27）［2025-06-17］. https://www.gov.cn/zhengce/zhengceku/2021-11/04/content_5648771.htm.［8］郭燕红.加强科学管理构建优质高效的医疗服务体系——在中国质量协会医疗与健康分会成立仪式上的讲话［J］.中国质量,2019(8):14-15.［9］国家卫生健康委. 关于全面推进紧密型县域医疗卫生共同体建设的指导意见：国卫基层发〔2023〕41号［EB/OL］. (2023-12-29)［2025-08-17］.https://www.nhc.gov.cn/jws/c100073/202312/f12f 9fab972746438a4ed452ce946d5e.shtml.［10］郑英. 我国区域整合型医疗健康服务体系的治理逻辑与路径分析——基于多中心治理视角［J］. 中国卫生政策研究, 2022, 15(1): 20-28.［11］王志刚.多中心治理理论的起源、发展与演变［J］.东南大学学报(哲学社会科学版),2009,11(S2):35-37.［12］蒋文峰. 我国医药卫生体制改革中的政府职能转变研究［D］. 北京：中央财经大学, 2017.［13］崔兆涵,王虎峰. 整体性治理视角下紧密型医共体的构建逻辑与实施路径［J］. 中国卫生政策研究, 2021, 14(2): 1-7.［14］严蓓蕾,何玉林. 整体性治理视角下医疗联合体管理体制探讨［J］. 中国研究型医院, 2020, 7(4): 39-42.［15］董钟昕. 区域医联体信息资源共享评估模型研究［D］. 武汉：华中科技大学, 2022.［16］许建强,许珈瑜,方锦花,等. 整体性治理理论下县域医共体价值目标整合与服务能力提升研究［J］. 中国医院, 2025, 29(1): 20-24.［17］刘超伦.以两级三层为核心的全面质量管理体系建设实践［J］.现代医院管理,2023,21(3):57-60.［18］徐书贤.高水平医疗质量养成的要素：疗效·安全·品质［J］.中国医院院长,2021,17(2):30-33.［19］徐岚,孙倩倩,朱峰,等.区域医共体内病案首页同质化管理在DRG支付中的作用探索［J］.现代医学,2024,52(4):614-617.［20］邓子如,董晓莲,王伟,等.浙江省某县县域医共体抗菌药物管理案例研究［J］.中国社会医学杂志,2024,41(4):391-396.［21］崔珑严,王敏,陶红兵.推进紧密型县域医共体建设：破解协同治理壁垒，优化体系生态［J］.中国全科医学,2025,28(19):2421-2425.［22］吴英华,罗家锋,林成创.县域紧密型医共体信息化平台设计与探索［J］.数据通信,2023(6):1-5.［23］国家卫生健康委办公厅. 关于印发医疗质量安全核心制度落实情况监测指标（2025年版）的通知：国卫办医政函〔2025〕227号［EB/OL］.（2025-05-29）［2025-06-17］.https://www.nhc.gov.cn/yzygj/c100068/202506/10f4eaf2648845f4bc126af35 8eb4e14.shtml.［24］郭欣. 县域三级联动+全周期闭环——隆尧县医院慢病管理模式探索［J/OL］.(2026-03-06).http://chhpct.com/paper/detail/82.［25］贵州省卫生健康委员会. 让群众 “好看病”“看好病” 一起来看榕江推进医共体建设的经验做法［EB/OL］.(2025-01-20)［2026-03-06］.https//wjw.guizhou.gov.cn/xwzx/jkdt/202501/t20250120_12345 67.html.［26］王俞霏. 整体性治理视角下雄安新区县域医共体发展创新路径研究［C］// 河北省重点高端智库“河北省公共政策评估研究中心”,河北省公共政策评估研究基地,河北省科技创新智库. 第十三届公共政策智库论坛暨“雄安建设与发展国际学术研讨会”会议论文集. 燕山大学公共管理学院,河北省公共政策评估研究中心, 2023: 239-244.［27］方子衿,唐文熙,彭倩,等. 整合型健康服务组织医保支付模式的设计——基于中美比较［J］.卫生经济研究, 2025, 42 (1): 57-60.
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Last Update:
2026-03-15