学科共建在三级中医医院托管区县医院中的实践与思考

Practice and reflection on the discipline co-construction in the trusteeship of a GradeⅢtraditional Chinese medicine with a district hospital

目的当前组建公立医疗集团已成为深化医药卫生体制改革的重要举措之一。本文以北京中医医院为例,介绍其所托管的首家区县中医院在学科共建方面的措施与成效、存在问题与发展方向。方法主要从学科共建措施和实施效果两方面进行详细分析。结果通过组织管理、制度建设和新建研究平台等学科共建举措,有效促进了总院和托管医院"带头学科"与"培育学科"间的资源合理配置,使共建学科实现了快速发展。结论"培育学科"在医疗服务水平、学术传承与人才培养、科研项目申报与立项及高质量科研成果产出等方面均有所提高,实现了通过学科共建方式促进医疗集团发展的目标。

Objective The construction of public medical group is an important strategic measure to deepen the health reform in China.Taking Beijing Traditional Chinese Medicine Hospital as an example,the article introduces the measures,achievements,existing problems and possible development direction of the discipline co-construction in the entrusted district hospital.Methods The article analyzes the measures of discipline co-construction and its implementation effect in detail.Results It has effectively promoted the reasonable allocation of resources between"well-developed leading disciplines"and"disciplines to be nurtured"in the medical group,these disciplines entering a new rapid development phase through optimized organization and management,system construction,new research platform construction.Conclusions"Disciplines to be nurtured"has been improved in medical service,scientific research capabilities,talent training,academic inheritance and quality of scientific research achievements,based on which,the goal of promoting the development of medical group through discipline co-construction was achieved.