推進(jìn)緊密型縣域醫(yī)共體建設(shè)：破解協(xié)同治理壁壘優(yōu)化體系生態(tài)

【中圖分類號(hào)】R197【文獻(xiàn)標(biāo)識(shí)碼】A DOI：10.12114/j.issn.1007-9572.2024.0632

【Abstract】The construction of compact county medical health community has entered the stage of comprehensive promotion.Therearehugeopportunitiesandchallengestoimprovetecoverageandconstructionlevelofthecompactcountylevel medicalcommunity.Thisresearchsummarizedrelevantpoliciesandliteratureathomeandabroad，andanalyzedtherelatedera backgroundofthedevelopmentofcompactcountymedicalhealthcommunityandthekeyinfluencingfactorsoftheirdevelopment， sortoutthe keybarrerfactorssuchaspayment methods，managementsystems，service modelsand informationsharingas wel astheiriternallogicalrelationships，and put forward targeted countermeasures.Theconstructionofcompactcountymedical healthcommunityneedthescienticintegrationofmedicalandhealthrsourceswithincountyarea.Meanwhile，itisayto formulateprepaidplanofpopulation-basedglobalbudgetandrationalformulationinascientificandrationalmanner.Moreover， multiplebarriessuchaspymntbarriers，institutioalarriers，sercebarriersndinformatioarriersdtoeoved， blockages need tobecleared，broken linksneedtobeconnected，anddificulties need tobeovercome，soas toeshape the ecologyofthe medicalservicesystem，trulyimplementtheconcept of health-centeredness，andenablecountyresidents to enjoy high-quality，continuous and efficient medical and health services.

【Key words】Compact county-level medical consortium；Collaborative governance；Medical insurance payment scheme；Service model； Information sharing

隨著我國慢性病經(jīng)濟(jì)負(fù)擔(dān)的不斷增加，人口老齡化導(dǎo)致的醫(yī)療衛(wèi)生需求大幅增長，面對(duì)經(jīng)濟(jì)增長放緩導(dǎo)致政府衛(wèi)生財(cái)政支出減少的困局，醫(yī)療服務(wù)系統(tǒng)的發(fā)展面臨巨大挑戰(zhàn)。（剩余9581字）