基于区域纵向紧密型的医疗集团运行模式探索

Operation Mode of Medical Group Based on Regional Vertical Compact Type

目的探寻一种符合医改要求、可复制、可推广的医疗集团运行模式。方法采用典型案例研究的方式,以广州市花都区两家医疗集团为例,分析其运行模式、管理措施、主要成效以及存在问题。结果广州市花都区两家医疗集团实行“五统一五不变”管理模式,组建理事会、监事会,成立管理中心、辅助中心、名医工作室、联合病房,统一药品目录和采购,做实家庭医生签约服务,改革人事薪酬制度等,建立起切实可行的运行机制,有效推进分级诊疗。结论同一区域内的纵向紧密型医疗集团可较好实现资源整合和医疗协同,便于双向转诊,能有效缓解基层群众“看病难”难题。

Objective To explore a medical group operation mode that can be copied and promoted in line with the requirements of medical reform.Methods Two medical groups in Huadu District of Guangzhou were taken as examples to analyze their operation mode,management measures,main effects and existing problems.Results The two medical groups in Huadu District of Guangzhou implemented the“Five-Unified,Five-Invariant”management mode,established the board of directors,the board of supervisors,management center,assistance center,experts clinic as well as community medical inpatient ward.Furthermore,the medical groups unified pharmaceuticals list and procurement,improved family doctors’services and reformed the personnel and payment system.Thus,the medical groups set up feasible operational mechanisms,which effectively promoted hierarchical diagnosis and treatment.Conclusion The vertical and tight medical group in the same district can better realize resource integration and medical collaboration,facilitate two-way referral,and alleviate the difficulty in seeing a doctor for grass-roots people.