我国儿科医疗联合体建设现状研究

Research on the Status of the Construction of Pediatric Medical Association in China

目的了解我国儿科医联体建设现状并发现存在的问题。方法通过中英文数据库、网络、国家及各省(区、市)政府及卫健委网站收集31省(区、市)最早建省级层面儿科医联体的相关文献、政策文件和新闻报道等资料进行主题框架分析。结果31省(区、市)除西藏外至少建立一个省级层面儿科医联体,儿科医联体或专科联盟是主要形式。成员单位方面,妇幼保健机构和基层医疗机构参与度不够。服务内容开展方面,健康检查结果互认、科研合作和专家号源共享等仍需要加强。结论我国儿科医联体建设迅速,但也存在诸如各级各类医疗服务机构参与度不够、服务开展不深入等问题,需要通过加大提升基层机构和妇幼保健机构投入加以改善。

OBJECTIVE To understand the status quo of the construction of pediatric medical associations in China and to find out the problems.METHODS The Chinese and English databases,networks,national and provincial(district,municipal)governments and the Health and Welfare Commission Website are used to collect the relevant literature,policy documents,news reports and other materials from the earliest provincial and municipal levels of pediatric medical associations.RESULTS 31 provinces(autonomous regions and municipalities)established at least one provincial-level pediatric medical association in addition to Tibet.The pediatric medical association or specialist alliance is the main form.In terms of member units,maternal and child health institutions and primary health care institutions are not sufficiently involved.In terms of service content development,mutual recognition of health check results,scientific research cooperation,and sharing of expert sources still need to be strengthened.CONCLUSION The construction of pediatric medical associations in China is rapid,but there are also problems such as insufficient participation of various types of medical service institutions at all levels and incomplete service development.It needs to be improved by increasing investment in grassroots institutions and maternal and child health care institutions.