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我国紧密型城市医疗集团建设关键要素与发展趋向

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我国紧密型城市医疗集团建设工作已在81 个试点城市展开,试点工作能否形成可推广的有益经验取决于对关键要素和发展趋势的把握。提出紧密型城市医疗集团建设成功与否的关键要素,包括医疗集团的法律地位、医疗集团与地方卫生健康行政部门的权责分配、医疗集团的架构、一体化运行机制、医疗集团与一院多区的分界和医疗集团健康效益评价6个方面。在健康中国和数字中国建设相叠加的大背景下,紧密型城市医疗集团存在数字化革命引领全新发展模式、面向需求的多元化发展、合作机制逐渐基于价值共融和利益共享、医防融合进一步加强和成效评价向结果性指标转变5个显著发展趋势。
Key Elements and Development Trends in the Construction of Medical Groups in Tight Cities in China
The construction of compact urban medical groups has been carried out in 81 pilot cities,and whether the pilot work can form useful experiences that can be replicated depends on the grasp of key elements and develop-ment trends.It proposes that the key elements in the construction of a compact urban medical group include the le-gal status of the compact urban medical group,the distribution of rights and responsibilities between the compact medical group and local health administrative departments,the structure and integrated operation mechanism of the compact urban medical group,the demarcation between the city medical group and one hospital and multiple dis-tricts,and the evaluation of health benefits.Under the background of the superposition of healthy China and digital China construction,China's urban medical group has five significant development trends including new development models led by the digital revolution,diversifying development models oriented to demand,emphasizing the coopera-tion mechanism based on value inclusion and benefit sharing,and promoting the further strengthening of medical and prevention integration and the effectiveness evaluation shifts to results-oriented indicators.

tight urban medical groupmedical consortiumkey elementsdevelopment trend

方鹏骞、田翀、李畅

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华中科技大学健康政策与管理研究院(智库) 湖北 武汉 430030

华中科技大学同济医学院护理学院 湖北 武汉 430030

湖北中医药大学公共管理学院 湖北 武汉 430030

紧密型城市医疗集团 医疗联合体 关键要素 发展趋向

教育部人文社会科学研究青年基金

22YJC630126

2024

中国医院管理
中国医院管理杂志社

中国医院管理

CSTPCD北大核心
影响因子:2.15
ISSN:1001-5329
年,卷(期):2024.44(1)
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