市校合作构建跨区域紧密型医联体的实践探索

Establishing a trans-provincial closed-type medical alliance via city-university cooperation:practice and exploration

为响应国家号召,落实优质医疗资源下沉,缓解人民群众扎堆大城市、大医院就医的问题,厦门市和复旦大学采取"市校合作、同质管理"的创新模式,合作新建复旦大学附属中山医院厦门医院。该院于2018年1月全面开诊,由复旦大学附属中山医院负责运营,两院作为跨区域紧密型医联体,在行政架构、医疗质量、人才培养、信息管理方面采取同质化管理。目前已建成为首批国家区域医疗中心试点单位,快速提升了厦门乃至周边地区的医疗水平。作者重点介绍了医院同质化管理的实践并分析遇到困难及解决策略,以期为跨区域紧密型医联体建设提供有益借鉴。

In response to calls of the state to share high quality medical resources with the primary levels for easier access of the local people to best medical care instead of pouring into tertiary hospitals in metropolitans,Xiamen city joined hands with Zhongshan Hospital of Fudan University to establish Xiamen Hospital affiliated to Zhongshan Hospital of Fudan University in an innovative model of"city-university cooperation and homogeneous management".Open for full service in January 2018,the hospital is run by Zhongshan Hospital in a closed-type medical alliance,enjoying homogenous management in terms of administrative framework,quality of care,talent training and IT management.Thanks to this practice,the hospital has grown into one of the first pilot units of the national regional medical center program,rapidly upgrading medical service level of Xiamen city and its surrounding regions.This paper highlighted the practice of homogeneous management,and analyzed the challenges and solutions for references of building trans-regional closed-type medical alliances.