紧密型县域医共体建设中分级诊疗实施效果的主导作用分析

Analysis of the Dominant Role of the Implementation Effect of Hierarchical Diagnosis in the Construction of Compact County Medical Community

目的:分析某省紧密型县域医共体建设中分级诊疗实施效果的主导作用,促进分级诊疗的落地实施。方法:采用定性比较分析的方法,以从国家紧密型县域医共体绩效评价监测系统调取的2021年某省数据指标作为研究变量。结果:通过分析5个条件变量对某省紧密型县域医共体建设中分级诊疗实施效果,得出了3种主导作用。影响某省紧密型县域医共体内分级诊疗效果的主导作用分别为:医保基金的主导作用、全科医生的主导作用、县域医共体建设的主导作用。结论:发挥医保基金引领作用,推动分级诊疗实施效果;重视医务人才培养,完善全科医生制度;搭建并完善县域医共体信息化平台,促进紧密县域型医共体建设。

Objective:To evaluate the leading role of hierarchical diagnosis implementation in the construction of compact county medical communities in a province.Methods:Qualitative comparative analysis was used to retrieve the data indicators of a province in 2021 from the national compact county medical community performance evaluation monitoring system as the study variables.Results:By analyzing the effects of five conditional variables on the implementation of hierarchical diagnosis in the construction of compact county medical communities in a province,three dominant effects were derived.The leading role of medical insurance fund,the leading role of general practitioners,and the leading role of county medical community construction were the leading roles influencing the effect of hierarchical diagnosis within a province’s compact county medical community.Conclusion:It is needed to give play to the leading role of medical insurance fund to promote the implementation effect of hierarchical diagnosis,pay attention to the cultivation of medical talents and improve the system of general practitioners,build and improve the information platform of county medical communities to promote the construction of compact county-type medical communities.