基于ISM模型的医联体动力机制建设影响因素研究

Researching on the influence factors of the dynamic mechanism of medical alliance by using ISM model

医联体建设是落实分级诊疗制度的关键路径,也是国际医改的新趋势。国内医联体建设过程中,来自医疗机构的内生动力不足,政府与医保等外部力量强度欠缺,导致以患者为中心,以分工协作为基础提供连续性医疗服务的工作机制未能实现。通过构建ISM模型分析影响医联体动力机制建设的内外部因素间的关联结构与作用路径,提出以外部力量催生内生力量完善医联体动力机制建设,以期形成合理有序的医疗服务体系。

The construction of medical alliance is the critical path to implement the classification system and the new trend of international medical reform. During domestic medical alliance process,there is insufficient internal impetus driving from medical institutions and the government lack of external power. It＇s failed to form patients centered and division of labor and cooperation to provide the continuous of medical services. Therefore,through building the ISM model the paper analyzed dynamic mechanism of the construction of the internal and external factors affecting medical alliance correlation between structures and function path,and proposed the mechanism driven by external force as the endogenous power to improve the medical alliance mechanism. As a result,it＇s forming a reasonable and orderly system of medical service.