整体性治理语境下紧密型县域医共体改革研究

Reform of close county medical community under the context of holistic governance

整体性治理是新公共管理运动之后兴起的一种重要理论范式,在方法论意义上对紧密型县域医疗卫生共同体改革研究具有合理性和适用性。文章从整体性治理视角,对现实医疗卫生服务样态进行描述性分析,诠释医共体改革的潜在风险和整体性逻辑。提出政府、医院、患者三方合作协调的治理策略,确保政府回归元治理角色,公立医院回归公益属性,群众回归健康本源,为打造优质高效的整合型医疗卫生服务体系提供参考借鉴。

Holistic governance is an important theoretical paradigm after the new public management movement, which is reasonable and applicable to the research on the reform of close county medical community in the methodological sense. From the perspective of holistic governance, this paper makes a descriptive analysis of the actual medical and health services, and interprets the potential risks and holistic logic of the medical community reform. Therefore, this paper puts forward the governance strategies of tripartite cooperation and coordination among the government, hospitals and patients to ensure that the government returns to the role of meta-governance, public hospitals return to public welfare attributes, and the masses return to the origin of health, so as to provide reference for building a high-quality and efficient integrated medical and health service system.