城市紧密型医联体医疗质量同质化管理的路径和作用

Pathway and Effect of Homogeneity Management of Medical Quality in Urban Compact Medical Consortiums

目的研究城市紧密型医联体医疗质量同质化管理的路径和作用。方法基于全面资源理论视角,以西宁市第一医疗集团为代表,进行典型案例的深入挖掘和解剖,从而研究紧密型医联体医疗质量同质化管理的实施路径,分析其在基层医疗卫生服务能力和效能提升中的作用机制和意义。结果西宁市第一医疗集团以城市紧密型医联体为载体,以县域医疗质量同质化为重点,推动优质医疗资源下沉,从而提升了县域基层医疗卫生服务能力和效能,实现分级有序就诊。结论城市紧密型医联体的组织模式和机制创新可助力县域医疗质量的同质化管理。医联体内医疗质量同质化对基层能力和整体服务效能提升具有重要作用和意义。

Objective To study the pathway and effect of homogeneity management of medical quality in urban compact medical consortiums.Methods From the perspective of comprehensive resource theory,this paper took Xining First Medical Group as an example and conducted in-depth study on its typical cases.It studied the implementation path of homogeneity management of medical quality in compact medical consortiums,and analyzed its effecting mechanism and significance in the improvement of capacity and efficiency of primary healthcare.Results Taking the urban compact medical consortium as a carrier,with the county medical quality homogeneity as the focus,Xining First Medical Group promoted the subsidence of quality healthcare and resources,and improved the capacity and efficiency of primary healthcare at the county level,realizing the hierarchical and orderly visits.Conclusion The innovation of organization mode and mechanism of urban compact medical association can help the homogeneity management of county medical quality.The homogenization of medical quality in the medical consortium plays an important role in improving the grassroots ability and overall service efficiency.