首页|基于利益相关者理论的医联体双向转诊困境及优化策略研究

基于利益相关者理论的医联体双向转诊困境及优化策略研究

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目的 分析医联体背景下双向转诊发展困境,为双向转诊政策的制定及有效实施提供参考。方法 以医联体"大鹏模式"为例,基于利益相关者理论剖析医联体双向转诊过程中的存在问题及优化措施。结果 医联体"大鹏模式"下的双向转诊实践惠及转诊患者约15万人次,有效提升了医疗资源利用效率。但双向转诊过程中仍存在各方利益难以协调、基层医疗机构服务能力不足、医患认知态度难以改变等问题。结论 须明确医联体双向转诊利益相关方功能定位,建立统一的双向转诊标准,持续推进信息共享机制,同时强化医保引导作用,以提高医联体双向转诊制度运行效率。
Challenges and optimization strategies of two-way referrals within a medical consortium:a stakeholder theory analysis
Objective The study analyzes the challenges in two-way referrals within a medical consortium,thereby pro-viding references for the formulation and effective implementation of corresponding policies.Methods Focusing on the"Dapeng Model"by the medical consortium,this research analyzes the issues and optimization strategies within the two-way referral process of medical association based on stakeholder theory.Results The two-way referrals under the"Dapeng Model"has facili-tated approximately 150,000 patient referrals,significantly enhancing the utilization efficiency of medical resources.However,challenges remain,including the difficulty in aligning stakeholders'interests,the inadequate service capacity of grassroots medi-cal institutions,and the resistance to changing the perceptions and attitudes of both patients and healthcare providers.Conclu-sion It is imperative to clearly define the functional roles of stakeholders in the two-way referral system within medical consorti-ums,establish standardized referrals protocols,promote continuous information-sharing mechanisms,and strengthen the guiding role of health insurance to enhance the operational efficiency within the consortiums.

StakeholderMedical consortiumTwo-way referralHierarchical diagnosis and treatmentUrban health-care groups

汤时蓝、兰若沐、彭小娟

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深圳市大鹏新区医疗健康集团 广东 深圳 518119

深圳市第二人民医院 广东 深圳 518035

利益相关者 医联体 双向转诊 分级诊疗 城市医疗集团

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(11)