[1]刘金涛吴越付登霄刘清俊肖俭杨光贞翟双庆.河南省郸城县县域医共体建设机制及成效分析[J].中国卫生质量管理,2021,28(11):94-98.[doi:10.13912/j.cnki.chqm.2021.28.11.23 ]
　LIU Jintao,WU Yue,FU Dengxiao.Construction Mechanism and Effect Analysis of County Medical Community in Dancheng County, Henan Province[J].Chinese Health Quality Management,2021,28(11):94-98.[doi:10.13912/j.cnki.chqm.2021.28.11.23 ]

点击复制

河南省郸城县县域医共体建设机制及成效分析

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第28卷期数: 2021年11期页码: 94-98 栏目: 问题与探索出版日期: 2021-11-28

Title:: Construction Mechanism and Effect Analysis of County Medical Community in Dancheng County, Henan Province

作者:: 刘金涛吴越付登霄刘清俊肖俭杨光贞翟双庆; 北京中医药大学

Author(s):: LIU Jintao; WU Yue; FU Dengxiao; Beijing University of Chinese Medicine

关键词:: 县域医共体; 郸城县; 医疗改革

Keywords:: County Medical Community; Dancheng County; Medical Reform

分类号:: R197.1

DOI:: 10.13912/j.cnki.chqm.2021.28.11.23

文献标志码:: A

摘要:: 郸城县通过重塑医疗卫生服务体系，创新医疗卫生管理体制机制，完善医疗保障支持政策，形成党委统揽、政府主导的医疗卫生服务共同体，下设以县人民医院、中医院、中心医院、妇幼保健院为牵头医院的4个医疗健康服务集团，突出各集团的专科优势，集团间形成专科错位发展、良性竞争模式，进而引导患者合理有序就医。通过医共体建设，促进县级优质资源下沉基层，有效引导群众到基层医疗机构就诊，不但控制了医疗卫生费用的不合理增长，减轻了群众的就医负担，也在一定程度上缓解了“看病难”和“看病贵”难题。通过医疗体制改革，郸城县探索出一条“以人民健康为中心”的医改之路，持续提高县域医疗保障水平及全民健康素养水平，提升了县域医疗服务能力，实现了由“县级强”到“县域强”，形成了“县强、乡活、村稳”的新格局。

Abstract:: Dancheng County reshaped the medical and health service system, innovated the medical and health management system and mechanism, improved the medical security support policies, and formed a medical and health service community dominated by the Party Committee and the government. It included four medical and health service groups which took the county people's hospital, hospital of traditional Chinese medicine, central hospital, maternal and child health care hospital as the lead hospitals, highlighting the specialty advantages of each group, the formation of dislocation of specialty development between groups, benign competition mode, and then guiding patients to a reasonable and orderly medical treatment. Through the construction of the medical community, the county level high-quality resources were promoted to sink into the grassroots, and the masses were effectively guided to the grassroots medical institutions, which not only controlled the unreasonable growth of medical and health costs, reduced the burden of medical treatment for the masses, but also alleviated the "difficult" and "expensive" problems of the masses to a certain extent. Through the reform of medical system, Dancheng County explored a reform road of "people's health as the center", continued to improve the level of the county medical insurance and national health quality, promoted the county health service ability, realized the "county-level" to the new situation of "county-territory", set up a new pattern of "strong county, alive township and stable village".

参考文献/References:

［1］央广网．习近平出席全国卫生与健康大会并发表重要讲话［EB/OL］.(2016-08-21).http://china.cnr.cn/news/20160821/t20160821_523044689.shtml. ［2］申丽君，黄成凤，李乐乐，等.县域医共体模式的探索与实践：以安徽省天长市为例［J］.卫生经济研究，2018(12):7-11. ［3］郭贺，戴力辉，高晶磊，等.我国县域医疗共同体建设实效评价［J］.中国医院管理，2021,41(2):14-17，26. ［4］丁宁，胡豫，彭义香，等.部省属医院主导的医联体建设实践与思考［J］.中国医院，2019,23(4):18-20. ［5］王文婷，胡志，乐燕娜，等.我国县域医共体研究热点和变化趋势分析［J］.中国农村卫生事业管理，2020,40(8):568-573. ［6］姜天一，何祖彬.天长：医共体撑起县域医疗［J］.中国卫生，2016(8):43-45. ［7］刘也良，孙梦，王祎然.从县级强到县域强启动三大“发动机”［J］.中国卫生，2019(8):14-17. ［8］吴肃然，李名荟.扎根理论的历史与逻辑［J］.社会学研究，2020,35(2):75-98. ［9］付登霄.中医医共体建设要运用中医思维［J］.中国卫生，2019(9):84-85. ［10］李春漾,冯海欢,辜永红,等.医疗保险基金支付方式改革对医疗质量的影响分析［J］.中国卫生质量管理,2017,24(3):31-34. ［11］吴静娜,王志强,邵宇群.县域医共体模式下薪酬制度改革实践与研究［J］.中国卫生质量管理,2020,27(1):127-130. ［12］戴悦，林燕羡，吴韶嫣，等.福建省紧密型县域医共体绩效评价指标体系构建［J］.中国卫生经济，2021,40(1):75-80.

相似文献/References:

[1]赵凌波.宁波市县域医共体治理机制改革实践及优化策略分析：基于新公共服务理论视角[J].中国卫生质量管理,2021,28(06):102.[doi:10.13912/j.cnki.chqm.2021.28.6.27 ]
　ZHAO Lingbo.Reform Practice and Optimization Strategy of Governance Mechanism of Medical Alliance at County Level in Ningbo: from the Perspective of New Public Service Theory[J].Chinese Health Quality Management,2021,28(11):102.[doi:10.13912/j.cnki.chqm.2021.28.6.27 ]
[2]汪晓露陈任.全面质量管理在县域医共体中的应用探索:以庐江县人民医院医疗集团为例[J].中国卫生质量管理,2021,28(11):99.[doi:10.13912/j.cnki.chqm.2021.28.11.24 ]
　WANG Xiaolu,CHEN Ren.Total Quality Management in County Medical Community: A Case Study of Lujiang County People's Hospital Medical Group[J].Chinese Health Quality Management,2021,28(11):99.[doi:10.13912/j.cnki.chqm.2021.28.11.24 ]
[3]刘瑶谭天林吴晓华邹先福张捷袁菱梅谢紫薇.中医药健康管理服务中心在县域医共体建设中的价值探讨[J].中国卫生质量管理,2022,29(05):98.[doi:10.13912/j.cnki.chqm.2022.29.5.25 ]
　LIU Yao,TAN Tianlin,WU Xiaohua.Value of TCM Health Management Service Center in County Medical Community Construction[J].Chinese Health Quality Management,2022,29(11):98.[doi:10.13912/j.cnki.chqm.2022.29.5.25 ]
[4]徐萍萍赵静李春晓刘森元李林峰.政策工具视角下我国县域医共体政策文本分析[J].中国卫生质量管理,2023,30(05):99.[doi:10.13912/j.cnki.chqm.2023.30.5.21 ]
　XU Pingping,ZHAO Jing,LI Chunxiao.Policy Text Analysis of County Medical Community in China from the Perspective of Policy Tools[J].Chinese Health Quality Management,2023,30(11):99.[doi:10.13912/j.cnki.chqm.2023.30.5.21 ]
[5]路定珍陈家应.县域医共体模式下龙头医院持续发展策略分析[J].中国卫生质量管理,2023,30(07):91.[doi:10.13912/j.cnki.chqm.2023.30.7.20 ]
　LU Dingzhen,CHEN Jiaying.Analysis on Sustainable Development Strategy of Leading Hospitals under the County Medical Community Mode[J].Chinese Health Quality Management,2023,30(11):91.[doi:10.13912/j.cnki.chqm.2023.30.7.20 ]
[6]马芳马蕊吴瑶蔡加春.基于扎根理论的县域医共体建设政策文本分析[J].中国卫生质量管理,2024,31(10):101.[doi:10.13912/j.cnki.chqm.2024.31.10.19]
　MA Fang,MA Rui,WU Yao.Text Analysis of County Medical Community Construction Policy Based on the Grounded Theory[J].Chinese Health Quality Management,2024,31(11):101.[doi:10.13912/j.cnki.chqm.2024.31.10.19]
[7]殷文兵张凤琴符义亮张智娟何洋杨铭.三级协同模式在县域慢性病管理中的探索实践[J].中国卫生质量管理,2026,33(3):75.[doi:10.13912/j.cnki.chqm.2026.33.3.17]
　YIN Wenbing,ZHANG Fengqin,FU Yiliang.Practical Exploration of the Three-Tier Collaborative Model in County-Level Chronic Disease Management[J].Chinese Health Quality Management,2026,33(11):75.[doi:10.13912/j.cnki.chqm.2026.33.3.17]
[8]徐悦宋超余映辉吴娴.提升县域医疗服务体系科学化管理水平及服务效能研究：以安宁市医共体建设为例[J].中国卫生质量管理,2026,33(3):80.[doi:10.13912/j.cnki.chqm.2026.33.3.18]
　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(11):80.[doi:10.13912/j.cnki.chqm.2026.33.3.18]

更新日期/Last Update: 2021-11-28