基于利益相关者视角下的医联体模式动力和阻力影响因素分析

Analysis on Factors Influencing the Dynamics and Resistance of the Medical Group Model from the Perspective of Stakeholders

医联体服务模式的运营与构建涉及到医疗服务的供给方(医疗卫生服务机构)、医疗服务的需求方(居民或者患者)、筹资方(医疗保障部门、卫生管理部门)的共同利益。在医联体的总体框架下,各自发挥着不同程度的推动或阻碍作用。笔者基于供给侧改革的时代背景,从利益相关方角度探讨医联体模式发展的动力阻力因素,为协调各利益方的权责与制度规划,逐步深层次推动医联体模式的深入扎根提出政策建议。

The operation and construction of the service mode of medical group involves the common interests of the supplier （medical and health service institutions）,the demanders （residents or patients） of medical services,and the financing parties （medical security department and health management department）,each of which plays a role of promoting or hindering to different degrees under the general framework of the medical alliance.Based on the historical background of supply-side reform,the authors discuss the dynamic and resistance factors of the development of the mode of medical alliance from the perspective of stakeholders,and propose the policy suggestions for coordinating the rights and responsibilities of various stakeholders and institutional planning,and gradually and deeply propelling the further root of the mode of medical alliance.