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[1]高解春.从“患者围着学科转”到“医生围着患者转”：县市医院专病中心建设的破局之道[J].中国卫生质量管理,2026,33(6):70-72.[doi:10.13912/j.cnki.chqm.2026.33.6.15]
　GAO Jiechun.From "Patients Revolving Around Disciplines" to "Doctors Revolving Around Patients": a Breakthrough Approach for the Construction of Specialized Disease Centers in County- and City-Level Hospitals[J].Chinese Health Quality Management,2026,33(6):70-72.[doi:10.13912/j.cnki.chqm.2026.33.6.15]

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从“患者围着学科转”到“医生围着患者转”：县市医院专病中心建设的破局之道

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 33 期数: 2026年6期页码: 70-72 栏目: 基层卫生质量出版日期: 2026-06-15

Title:: From "Patients Revolving Around Disciplines" to "Doctors Revolving Around Patients": a Breakthrough Approach for the Construction of Specialized Disease Centers in County- and City-Level Hospitals

作者:: 高解春; 复旦大学医院管理研究所

Author(s):: GAO Jiechun; Institute of Hospital Management, Fudan University

关键词:: 专病中心; 学科建设; 基层医院; 医疗资源

Keywords:: Specialized Disease Center; Discipline Construction; Primary-Level Hospital; Medical Resources

分类号:: R197.3

DOI:: 10.13912/j.cnki.chqm.2026.33.6.15

文献标志码:: B

摘要:: 针对县市医院学科细分带来的患者就医繁琐、资源分散、协同不畅等问题，提出以专病中心实现从“患者围着学科转”到“医生围着患者转”的转型。采用明确挂靠病房、多学科门诊、统一诊疗标准等建设路径，并从MDT协作、全程闭环、激励机制、信息支撑、组织架构五方面提供保障，为基层医院高质量发展提供参考。

Abstract:: In response to issues such as cumbersome medical treatment for patients, scattered resources, and insufficient collaboration caused by the subdivision of disciplines in county- and city-level hospitals, this study proposes the transformation from a model where "patients revolve around disciplines" to one where "doctors revolve around patients" through the establishment of specialized disease centers. The study delineates construction pathways including ward affiliation, multidisciplinary clinics, and unified diagnostic and treatment standards. It also provides guarantees from five aspects: MDT collaboration, full-process closed-loop management, incentive mechanisms, information support, and organizational structure, offering a reference for the high-quality development of primary-level hospitals.

参考文献/References:

［1］高解春.临床诊疗:从MDT向专病中心的转化［J］.中国卫生质量管理,2025,32(4):1-2.［2］张勘, 刘化侠. 基层医疗卫生服务体系建设与学科发展策略［J］.中国医院管理, 2023,43(7):1-4.

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更新日期/Last Update: 2026-06-15