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紧密型县域医共体医疗卫生机构动态能力构建研究

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紧密型县域医共体建设是推进县域分级诊疗和践行健康中国的重要举措.不确定性、变动性以及复杂特征的内外部环境威胁着紧密型县域医共体医疗卫生机构的生存空间与整合模式,资源基础能力与静态的核心能力已经不能完全满足动态环境中紧密型县域医共体医疗卫生机构的生存和发展需要.首先提出紧密型县域医共体医疗机构动态能力的概念框架;然后阐明医疗卫生机构动态能力分为感知能力、学习能力、协调能力和整合能力4个核心维度,并结合SECI模型分析紧密型县域医共体医疗卫生机构动态能力演化机制;最后提出做好医疗卫生共同体政策的顶层设计、形成动态能力的外部推力、以医疗卫生共同体信息化为推手增强资源协调整合能力、以卫生人力资源建设为重点提升医疗卫生机构动态能力的提升策略.
Research on Dynamic Capacity Building of Medical and Health Institutions in Close-knit County Medical Communities
The construction of close-knit county medical communities is an initiative to promote primary care in counties and practice Healthy China.The internal and external environments with uncertainty,variability,and complexity threaten the survival space and integration mode of the medical establishment in the close-knit county medical communities,and the resource-based capabilities and static core capabilities can no longer fully meet the survival and development needs of the medical and health institutions in the compact county medical communities in the dynamic environment.It proposes a conceptual framework for the dynamic capabilities of medical and health institutions in compact county medical and health communities,clarifies that the dynamic capabilities of medical and health institutions are divided into four core dimensions,namely,perception capability,learning capability,coordination capability,and integration capability,and analyses the mechanism of the evolution of the dynamic capabilities of medical and health institutions in compact county medical and health communities in conjunction with the SECI model,and finally proposes to do a good job in the top-level design of the medical community policy,to form the external"push"of the dynamic capabilities,and to use the SECI model as a basis for the development of the dynamic capabilities.thrust,enhance the resource coordination and integration capacity with medical community information technology as a push,and enhance the enhancement strategy to improve the dynamic capacity of medical and health institutions with the focus on the construction of health human resources.

close-knit county medical and health communitiesmedical and health institutionsdynamic capacity

吕慧慧、陈菲

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重庆医科大学公共卫生学院 重庆 400016

紧密型县域医共体 医疗卫生机构 动态能力

重庆市社会科学规划智库特别委托重点项目重庆市研究生教育教学改革研究重点项目

2022ZDZK42yjq222017

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(10)