首页|医共体建设后乡镇卫生院服务能力提升效果分析——以安徽省濉溪县为例

医共体建设后乡镇卫生院服务能力提升效果分析——以安徽省濉溪县为例

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目的:对安徽省濉溪县县域医共体建设情况进行探究,了解县域医共体建设对卫生服务能力的提升及关键机制.方法:采用问卷调查法和访谈法相结合的方式,利用国家卫生健康委发布的《乡镇卫生院服务能力标准2022版》制定评价指标、编制问卷,获取乡镇卫生院服务能力的变化情况.通过访谈濉溪县县域医共体建设各乡镇卫生院负责人、参与人,就县域医共体对乡镇卫生院卫生服务能力的提升与其关键机制进行了调研和探讨.结果:县域医共体通过合理配置医疗资源、优化服务模式、资金技术帮扶等方式,显著提升了乡镇卫生院的卫生服务能力.其中,县域医共体为乡镇卫生院提供资金、专家、技术支持,加强乡镇卫生院与县级医院合作与联系,提高乡镇卫生院的医疗技术人才队伍素质、诊疗水平和服务质量.同时,县域医共体还通过搭建智控平台、信息共享中心等办法促进乡镇卫生院的管理创新和机制建设,提升乡镇卫生院的综合服务能力和管理水平.结论:县域医共体能够显著提升乡镇卫生院卫生服务能力.
Analysis on the Effect of Improving the Service Capacity of Township Health Centers after the Construction of Medical Community:A Case Study of Suixi County in Anhui Province
Objective:To explore the construction of county medical community in Suixi County,Anhui Province,and to understand the improvement of health service capacity and key mechanisms of county medical community construction. Methods:The combination of questionnaire survey method and interview method was used to develop evaluation indexes and prepare questionnaires to obtain the changes in the service capacity of township health centers by using the"Township Health Center Service Capacity Standard Version 2022"issued by the National Health Commission. By interviewing the person in charge and participants of each township health center of county medical community construction in Suixi County,the improvement of health service capacity of township health centers by county medical community and its key mechanism were investigated and discussed. Results:The county medical community significantly improves the health service capacity of township health centers through rational allocation of medical resources,service mode optimization,and financial and technical assistance. Among them,the county medical community provides funds,experts and technical support for township health centers,strengthens the cooperation and contact between township health centers and county-level hospitals,and improves the quality of medical technical personnel,diagnosis and treatment level and service quality of township health centers. At the same time,based on establishing intelligent control platforms and information sharing centers,the county medical community also promoted the management innovation and mechanism construction of township health centers,and improved the comprehensive service capacity and management level of health centers. Conclusion:The county medical community could significantly improve the health service capacity of township health centers.

county medical communitytownship health centersservice capacity

董恒进、麦热依·巴合提、丁哲豪

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浙江大学公共卫生学院卫生政策学研究中心 浙江 杭州 310058

浙江大学医学院附属第四医院科教部 浙江 杭州 310058

县域医共体 乡镇卫生院 服务能力

2024

中国卫生经济
中国卫生经济学会,卫生部卫生经济研究所

中国卫生经济

CSTPCDCHSSCD北大核心
影响因子:1.524
ISSN:1003-0743
年,卷(期):2024.43(12)