[1]张静张昱王虎峰韩常安冯平.城市紧密型医联体医疗质量同质化管理的路径和作用[J].中国卫生质量管理,2023,30(03):014-19.[doi:10.13912/j.cnki.chqm.2023.30.3.03 ]
　ZHANG Jing,ZHANG Yu,WANG Hufeng.Pathway and Effect of Homogeneity Management of Medical Quality in Urban Compact Medical Consortiums[J].Chinese Health Quality Management,2023,30(03):014-19.[doi:10.13912/j.cnki.chqm.2023.30.3.03 ]
点击复制

城市紧密型医联体医疗质量同质化管理的路径和作用
分享到：

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第30卷
期数:
2023年03期
页码:
014-19
栏目:
特别关注
出版日期:
2023-03-15

文章信息/Info

Title:
Pathway and Effect of Homogeneity Management of Medical Quality in Urban Compact Medical Consortiums
作者:
张静张昱王虎峰韩常安冯平
首都医科大学附属北京天坛医院/国家神经系统疾病医疗质量控制中心/国家神经系统疾病临床医学研究中心
Author(s):
ZHANG Jing; ZHANG Yu; WANG Hufeng
Beijing Tiantan Hospital,Capital Medical University/National Center for Neurological Diseases Quality Control/National Clinical Research Center for Neurological Diseases
关键词:
城市医疗集团; 紧密型医联体; 高质量发展; 医疗质量; 同质化管理
Keywords:
Urban Medical Group;  Compact Medical Consortium;  High-Quality Development;  Medical Quality;  Homogeneity Management
分类号:
R197.31
DOI:
10.13912/j.cnki.chqm.2023.30.3.03
文献标志码:
A
摘要:
目的研究城市紧密型医联体医疗质量同质化管理的路径和作用。方法基于全面资源理论视角，以西宁市第一医疗集团为代表，进行典型案例的深入挖掘和解剖，从而研究紧密型医联体医疗质量同质化管理的实施路径，分析其在基层医疗卫生服务能力和效能提升中的作用机制和意义。结果西宁市第一医疗集团以城市紧密型医联体为载体，以县域医疗质量同质化为重点，推动优质医疗资源下沉，从而提升了县域基层医疗卫生服务能力和效能，实现分级有序就诊。结论城市紧密型医联体的组织模式和机制创新可助力县域医疗质量的同质化管理。医联体内医疗质量同质化对基层能力和整体服务效能提升具有重要作用和意义。
Abstract:
ObjectiveTo study the pathway and effect of homogeneity management of medical quality in urban compact medical consortiums.MethodsFrom the perspective of comprehensive resource theory, this paper took Xining First Medical Group as an example and conducted in-depth study on its typical cases. It studied the implementation path of homogeneity management of medical quality in compact medical consortiums, and analyzed its effecting mechanism and significance in the improvement of capacity and efficiency of primary healthcare.ResultsTaking the urban compact medical consortium as a carrier, with the county medical quality homogeneity as the focus, Xining First Medical Group promoted the subsidence of quality healthcare and resources, and improved the capacity and efficiency of primary healthcare at the county level, realizing the hierarchical and orderly visits.Conclusion The innovation of organization mode and mechanism of urban compact medical association can help the homogeneity management of county medical quality. The homogenization of medical quality in the medical consortium plays an important role in improving the grassroots ability and overall service efficiency.

参考文献/References:

［1］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：国办发〔2017〕32号［EB/OL］.(2017-04-26)［2022-10-02］.http://www.gov.cn/zhengce/content/2017-04/26/content_5189071.htm. ［2］国家卫生健康委，国家中医药管理局.关于开展城市医疗联合体建设试点工作的通知：国卫医函〔2019〕125号［EB/OL］.(2019-05-16)［2022-10-02］. http://www.nhc.gov.cn/yzygj/s3593g/201905/7968 047177184923b682a48b2f2a97b9.shtml. ［3］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)［2022-10-02］. http://www.gov.cn/zhengce/content/2021-06/04/content_5615473.htm. ［4］国家卫生健康委，国家中医药管理局.关于印发公立医院高质量发展促进行动（2021-2025年）的通知：国卫医发〔2021〕27号［EB/OL］. (2021-10-14)［2022-10-07］. http://www.nhc.gov.cn/yzygj/s3594q/202110/9eed14e125b74f67b927eca2bc3549 34.shtml. ［5］郭燕红.推进分级诊疗，构建连续健康服务［J］.中国全科医学,2017,20(1):1-5. ［6］罗秀梅,马秋霞,杨帅.如何提高紧密型医联体病案同质化水平［J］.中国卫生质量管理,2019,26(3):134-136. ［7］孙佳璐,马旭东.我国医疗质量管理与控制体系的建立与发展［J］.中国医院管理,2021,41(12):151-153,157. ［8］杨刘军,才让,王虎峰.城市医疗集团带动公立医院高质量发展案例研究［J］.中国医院管理,2022,42(5):12-15. ［9］国家卫生健康委员会，国家中医药管理局.关于印发医疗联合体综合绩效考核工作方案（试行）的通知：国卫医发〔2018〕26号［EB/OL］.(2018-08-09)［2022-10-02］.http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=57035 8dbf0af41 238f46bb89e4af538b. ［10］焦雅辉.医联体绩效考核要分“三步走”［J］.中国卫生,2018(12):54-55.

相似文献/References:

[1]龚伟伟 赵太宏 朱一俊 肖雨龙 业海燕.不同医联体管理模式下医师能力提升的探究[J].中国卫生质量管理,2018,25(02):120.[doi:10.13912/j.cnki.chqm.2018.25.2.37]
[2]沈艳玲 古丽巴哈尔·卡德尔 孙春梅 温浩.紧密型医联体模式下专家效应对基层医疗水平的影响研究[J].中国卫生质量管理,2018,25(03):116.[doi:10.13912/j.cnki.chqm.2018.25.3.35]
[3]罗秀梅 马秋霞 杨帅.如何提高紧密型医联体病案同质化水平[J].中国卫生质量管理,2019,26(03):134.[doi:10.13912/j.cnki.chqm.2019.26.3.37]
[4]周莹马志敏陈志航王诚吴雪良熊文孙晓鸣茅国芳 薛鹏曹海红连斌.区域居民健康的慢病管理模式探索：以医联体糖尿病管理为例[J].中国卫生质量管理,2020,27(04):150.
　ZHOU Ying,MA Zhimin,CHEN Zhihang,et al.The Exploration of the Management Model of Chronic Diseases of Regional Residents' Health: Taking Diabetes Management of Medical Alliance as an Example[J].Chinese Health Quality Management,2020,27(03):150.
[5]宋青才让赵晶.紧密型医联体提升基层医疗服务能力的实践与探索[J].中国卫生质量管理,2020,27(06):151.[doi:10.13912/j.cnki.chqm.2020.27.6.39 ]
　SONG Qing,CAI Rang,ZHAO Jing.Practice and Exploration of the Tight Medical Institution Alliance to Improve the Ability of Primary Medical Service[J].Chinese Health Quality Management,2020,27(03):151.[doi:10.13912/j.cnki.chqm.2020.27.6.39 ]
[6]薛云狄建忠罗莉程婕徐桔密干燕丹.国内城市医疗集团研究的热点主题及趋势分析[J].中国卫生质量管理,2022,29(02):098.[doi:10.13912/j.cnki.chqm.2022.29.2.23 ]
　XUE Yun,DI Jianzhong,LUO Li.Hot Topics and Trend Analysis of Domestic Urban Medical Group Research[J].Chinese Health Quality Management,2022,29(03):098.[doi:10.13912/j.cnki.chqm.2022.29.2.23 ]
[7]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.[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(03):105.[doi:10.13912/j.cnki.chqm.2023.30.5.22 ]
[8]罗莉许媛媛房良李志建杨海郑蕴欣李斌.基于全面质量管理理论构建城市医疗集团HB-HTA小组的论证[J].中国卫生质量管理,2023,30(07):078.[doi:10.13912/j.cnki.chqm.2023.30.7.17 ]
　LUO Li,XU Yuanyuan,FANG Liang.Establishment of HB-HTA Team of Urban Medical Group Based on Total Quality Management Theory[J].Chinese Health Quality Management,2023,30(03):078.[doi:10.13912/j.cnki.chqm.2023.30.7.17 ]
[9]王俊寰刘洋张宜明.分级诊疗背景下县级中医院高质量发展路径探索[J].中国卫生质量管理,2023,30(12):091.[doi:10.13912/j.cnki.chqm.2023.30.12.20 ]
　WANG Junhuan,LIU Yang,ZHANG Yiming.Exploring the Path of High-Quality Development of County-Level Traditional Chinese Medicine Hospitals under the Background of Hierarchical Diagnosis and Treatment[J].Chinese Health Quality Management,2023,30(03):091.[doi:10.13912/j.cnki.chqm.2023.30.12.20 ]

更新日期/Last Update: 2023-03-15