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共生理论视角下县域医共体协同发展困境及对策分析

Analysis of Dilemma and Countermeasures of Coordinated Development of Medical Alliance at County Level from Perspective of Symbiosis Theory

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为调查县域医共体协同发展中的问题,选取江西省瑞金市政府部门、医疗卫生机构共30名管理人员进行访谈,并采用主题分析法对访谈资料进行主题归纳,共提炼了四个主题:(1)共生单元现状:政府推力不足,牵头单位存在畏难意识,成员单位主动性不强;(2)共生关系现状:医共体内部沟通少,利益很难协调,协同意识短期难以建立;(3)共生环境现状:财政支持不持续,宣传力度小,政策执行不到位;(4)共生界面现状:信息不互通、远程医疗流于形式.要以推动共生单元参与,共促共生系统发展;构建长效沟通分配机制,建立一体化共生关系;优化正向共生环境,强化配套政策支持;加快共生界面建设,打通资源共享通道等措施推动县域医共体协同发展.
In order to investigate the problems in the coordinated development of medical alliance at county level,a total of 30 managers from government departments and health institutions in Ruijin City of Jiangxi Province were selected for interviews,and thematic analysis was used to summarize the interview data,and four themes were extracted:(1)the status of symbiotic unit:insufficient government thrust,the lead unit has a sense of fear,the initiative of the member units is not strong;(2)the status of symbiotic relationship:less communication within the medical alliance,it is difficult to coordinate the interests,and it is difficult to establish a sense of synergy in the short term;(3)the status of the symbiotic environment:financial support is not sustained,the publicity efforts are small,and the implementation of policies is not in place;(4)the status of symbiotic interfaces:the information is not interoperable and the telemedicine is a mere formality.It is necessary to promote the coordinated development of medical alliance at county level from promoting the participation of symbiotic units and co-promoting the development of symbiotic systems;constructing a long-term communication and distribution mechanism and establishing an integrated symbiotic relationship;optimizing the positive symbiotic environment and strengthening the support of supporting policies;and speeding up the construction of symbiotic interfaces and opening up the channels of resource sharing,and other measures to promote the coordinated development of medical alliance at county level.

Symbiosis theoryMedical alliance at county levelCoordinated development

钟林、李玲

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湖南中医药大学人文与管理学院

共生理论 县域医共体 协同发展

湖南省哲学社会科学基金湖南省中医药局项目湖南省卫生健康委科研项目

21JD022E2022002202215024534

2024

医院管理论坛
北京大学

医院管理论坛

影响因子:0.807
ISSN:1671-9069
年,卷(期):2024.41(7)