县乡医疗服务体系一体化改革模式、挑战与对策

Mode, Challenge and Strategy Integration Reform of Medical Service System in Counties and Towns

县乡医疗服务体系一体化改革是实现县域医疗卫生资源下沉、提升基层医疗服务能力的重要途径。文章通过对各地一体化改革政策的梳理和实践经验的总结,将当前多样化的一体化改革归纳为分散化帮扶管理、集中化协议托管、松散型"医联体"整合和紧密型"医联体"整合四种模式。进而分析了一体化改革面临的诸多挑战,需要从建立紧密型"医联体"、优化政府办医职能、建立现代医院管理制度等方面推进一体化改革。

The integration reform of medical service system in counties and towns had been an important way to sink the county health resources and to enhance the primary medical service ability. By summarizing the reform of the policy and the practical experience, it summarized the current diversification of integrated reform as decentralized help management, centralized agreement hosting, loose ＂medical union＂ integration and close ＂medical union＂ integration. After analyzing the challenges faced the integration reform, it proposed the need to establish a close ＂medical union＂, optimize the functions of government services and establish the modern hospital management system.