[1]余红星陈晶晶张永钱博陈彬宁君云周尚成.医疗对口支援政策存在问题研究[J].中国卫生质量管理,2018,25(01):118-120.[doi:10.13912/j.cnki.chqm.2018.25.1.37]

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医疗对口支援政策存在问题研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第25卷期数: 2018年01期页码: 118-120 栏目: 问题与探索出版日期: 2018-01-28

作者:: 余红星陈晶晶张永钱博陈彬宁君云周尚成; 十堰市太和医院（湖北医药学院附属医院）

关键词:: 医疗对口支援政策; 基层医疗机构; 三级医院; 卫生人力资源

Keywords:: Medical Pairing-Assistance Program; Primary Medical Institutions; Tertiary Hospital; Health Human Resources

DOI:: 10.13912/j.cnki.chqm.2018.25.1.37

摘要:: 目的探讨医师支援农村卫生工作未落实的原因，提出对策。方法选取11名医师和护士开展焦点组访谈；选取卫生行政官员、三级医院和县医院的医师和管理人员共25人进行半结构式电话访谈；采用扎根理论对访谈资料进行归纳分析。结果医师下乡没有落实的原因包括支援医院、受援医院、支援人员、卫生行政部门监督监管以及政策本身缺陷等。主要原因是受援医院与支援医院形成了竞争关系。结论医疗对口支援政策是提高基层医疗机构服务能力的有效方式，应该坚持实施。建议调整下乡政策，由支援县医院改为支援乡镇卫生院，并加强监督管理。

Abstract:: ObjectiveTo analyze the limitations of medical pairing-assistance program and provide countermeasures.MethodsA total of 11 doctors and nurses were selected for the focus group discussion, and 25 interviewees, including health administrative officials, doctors, and managers from both urban tertiary hospitals and county-level hospitals, were included in semi-structured in-depth telephone interviews. The grounded theory was used to summarize and analyze the interview data.ResultsThe failure of this program was attributed to multiple causes, such as problems with the recipient hospitals, the support hospitals, the participating doctors; and overall defects in the program strategy itself. One major reason was the competition between the recipient hospitals and the support hospitals.Conclusion The medical pairing-assistance program could improve the service capability of primary medical institutions which should be implemented. The rural-aid policy is suggested to be adjusted. The recipient hospitals should be township-level health centers rather than county-level hospitals, and the supervision management should be strengthened.

参考文献/References:

［1］颜明金，严莎.医师多点执业存在的问题及对策探析［J］.中国医院管理，2012，32（5）：8-9.

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更新日期/Last Update: 2018-01-28