基于整体性治理理论的县域医共体建设研究——以湖北省为例

Study on the County-level Medical Alliance Construction Based on Integration Governance Theory——Take Hubei Province as an example

近年来,为了提高基层医疗卫生服务能力、推动分级诊疗,各地出台多项政策,不断加强县域医共体建设,并取得一定成效。但由于政府治理的碎片化,各部门、各主体之间目标不一致、沟通不畅、权责不明、参与度不高,阻碍了县域医共体的进一步发展。本文基于整体性治理理论,以湖北省为例,提出建立多方参与、协调有序、监管严密、有法可依的县域医共体治理机制,并依靠信息化平台加强协作,促进县域医共体建设及进一步发展。

In recent years,various localities have issued many policies to continuously strengthen the construction of county-level medical alliance.However,inconsistent goals among various departments and subjects,poor communication,unclear powers and responsibilities,etc.,which have hindered the further development of the county-level medical alliance.Based on the integration governance theory and taking Hubei Province as an example,this paper proposes to establish a county-level medical alliance governance mechanism with multiple participation,orderly coordination,strict supervision,and rely on the information platform.