数字健共体赋能基层卫生治理变革

Digital Health Community Empowers Grassroots Health Governance Transformation

基层卫生治理存在主体多元、利益诉求多样、业务协调不够,医疗、医药、医保“三医”缺乏高效联动,医生服务能力相对较低、质量不高,基层医疗机构与医务人员激励机制不健全等问题。得益于数字化技术和平台在推动医疗健康服务全要素数字化和医疗模式转型升级上的显著作用,数字健共体为“强基层”提供了一种新的路径选择。本文在分析数字健共体概念内涵与内在逻辑基础上,以T市基层卫生数字治理实践为例,总结数字健共体赋能基层卫生治理的典型做法与经验,分析基层卫生治理数字化转型面临的困难与问题,并提出相应的治理对策,旨在从数字健共体视角探讨基层卫生治理变革的路径与方法。

Grassroots health governance has problems such as diversified subjects,diverse interest demands,insufficient business coordination,lack of efficient linkage of medical,pharmaceutical and medical insurance,relatively low service capacity and low quality of doctors,and imperfect incentive mechanisms for grassroots medical institutions and medical personnel.Due to the significant role of digital technology and platform in promoting the digitization of all elements of medical and health services and the transformation and upgrading of medical models,the digital health community provides a new path choice for‘strengthening grassroots level’.On the basis of analyzing the connotation and intrinsic logic of the concept of digital health community,this paper summarizes the typical practices and experiences of digital health community empowerment of grass-roots health governance in T city,analyzes the difficulties and problems faced by the digital transformation of grass-roots health governance,and proposes corresponding governance countermeasures,aiming to explore the path and method of grass-roots health governance reform from the perspective of digital health community.