[1]朱斌韩昕昕黄艳欧淑清任力杰.紧密型医联体模式下基层医疗服务能力评估：以大鹏新区医疗健康集团为例[J].中国卫生质量管理,2023,30(05):105-110.[doi:10.13912/j.cnki.chqm.2023.30.5.22 ]
　ZHU Bin,HAN Xinxin,HUANG Yan.Evaluation of Primary Medical Service Capacity under the Compact Medical Association Model: a Case Study of Dapeng New District Medical Health Group[J].Chinese Health Quality Management,2023,30(05):105-110.[doi:10.13912/j.cnki.chqm.2023.30.5.22 ]
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紧密型医联体模式下基层医疗服务能力评估：以大鹏新区医疗健康集团为例
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第30卷
期数:
2023年05期
页码:
105-110
栏目:
问题与探索
出版日期:
2023-05-15

文章信息/Info

Title:
Evaluation of Primary Medical Service Capacity under the Compact Medical Association Model: a Case Study of Dapeng New District Medical Health Group
作者:
朱斌韩昕昕黄艳欧淑清任力杰
南方科技大学公共卫生及应急管理学院
Author(s):
ZHU Bin; HAN Xinxin; HUANG Yan
School of Public Health and Emergency Management, Southern University of Science and Technology
关键词:
大鹏新区; 紧密型医联体; 服务能力; 三维结构模型
Keywords:
Dapeng New District; Compact Medical Association; Service Capability; Three-Dimensional Structure Model
分类号:
R197.3
DOI:
10.13912/j.cnki.chqm.2023.30.5.22
文献标志码:
A
摘要:
目的以深圳市大鹏新区为例，评估紧密型医联体基层医疗服务能力。方法基于资源基础理论和动态能力理论，构建医联体服务能力三维（广度、深度、层次）结构模型和评估框架，对大鹏新区医联体医疗服务能力进行分析，同时基于熵值法评估大鹏新区医联体医疗服务能力综合得分。结果2016年以来，大鹏新区医联体服务能力广度、深度、层次均呈现上升趋势，转诊患者数量持续增加，群众就医满意度持续提升。2017年-2021年，基于熵值法计算的大鹏新区医联体基层医疗服务能力综合得分呈现波动上升趋势。结论一是强化牵头医院带动作用，进一步优化配置新区医疗资源。二是鼓励上级医院人才下沉基层，长效提升基层卫生服务能力。三是完善大鹏新区医疗健康集团内部双向转诊规范，明确分工协作机制。四是以医保支付方式改革促进基层首诊和人才下沉。
Abstract:
ObjectiveTo evaluate the primary medical service capacity of a compact medical association by case study of Dapeng New District in Shenzhen.MethodsBased on the resource-based theory and dynamic capability theory, the three dimensions (breadth, depth, hierarchy) structure model and evaluation framework of the medical association service capability were built, and the ability of the medical association service capacity of the Dapeng New District was analyzed, and the comprehensive score of the service capacity of the medical association was evaluated based on the entropy method.ResultsSince 2016, the breadth, depth and hierarchy of service capacity of the medical alliance in Dapeng New District had shown an upward trend, the number of referred patients had continued to increase, and the public's medical satisfaction had continued to improve. From 2017 to 2021, the comprehensive score of primary medical service capacity of medical association in Dapeng New District calculated based on the entropy method showed a fluctuating upward trend.Conclusion First, to strengthen the leading hospital's driving role to further optimize the allocation of medical resources in the new district. Second, to encourage the talents of the higher hospitals to sink to the grassroots, and to improve the ability of grassroots health services in a long-term. Third, to improve the two-way referral standard within the Dapeng New District Medical Health Group, and clarify the division of labor and cooperation mechanism. Fourth, to implement health insurance payment reform to promote first treatment in community and retain talents.

参考文献/References:

［1］中国政府网. 国务院办公厅关于推进医疗联合体建设和发展的指导意见.(2017-04-23)［2022-04-26］. http://www.gov.cn/zhengce/content/2017-04/26/content_5189071.htm. ［2］高晶磊,刘春平,孙海燕,等.基于协同治理理论的城市医联体网格化管理模式研究［J］.中国卫生经济,2021,40(11):18-22. ［3］JOHNS BL, HOGAN WP. A theory of the growth of the firm［J］. Economic Record, 1961, 37(78):171-182. ［4］TEECE DJ, PISANO G, SHUEN A. Dynamic capabilities and strategic management［J］. Strategic Management Journal, 1997, 18(7): 509-533. ［5］杜羽茜,宋宝香,沈艳,等.基于共生理论的国家医联体绩效考核指标分析及优化［J］.中国医院管理,2022,42(2):44-46. ［6］韩胜昔,袁骏毅,汪澜,等.基于Donabedian模型的肺癌医联体实践效果与问题分析［J］.中国医院管理,2021,41(6):16-19. ［7］马玉琴,帅力,承建国,等.某区三所医院托管成效比较研究［J］.中国卫生质量管理,2021,28(7):96-99. ［8］王曼丽,方海清,陶红兵.基于熵值法和功效系数法的纵向紧密型医疗联合体绩效评价实证［J］.中国卫生事业管理,2019,36(10):721-725，729. ［9］王滨.基于熵值法的中国新型城镇化水平综合评价与区域比较［J］.商业经济研究,2018(20):179-181. ［10］李洪涛,秦善春.目标与关键成果法在提升医联体基层卫生服务能力中的实践与探索［J］.中国卫生质量管理,2022,29(11):99-102. ［11］凌美蓉,李波,沈刚,等.上海“中山——闵行”医联体建设成效及发展策略［J］.中国医院管理,2021,41(12):96-98. ［12］石敏,徐梦丹,许星莹,等.我国医联体政策量化研究:基于政策目标、工具和力度的内容分析［J］.中国卫生事业管理,2021,38(5):352-356，374. ［13］蒋无有.我国医联体运行模式及发展路径［J］.经济研究导刊,2022(33):66-68，135.

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更新日期/Last Update: 2023-05-15