整合型健康共同体背景下的新建区院全面托管模式实践与探索——以上海市嘉定区江桥医院托管模式为例

Practice and exploration of comprehensive trusteeship model of newly built district hospitals under the background of the integrated health community-take the trusteeship model of Jiangqiao Hospital in Jiading District of Shanghai as an example

医院托管是新形势下推动优质医疗资源下沉和促进分级诊疗制度建设的重要抓手之一。以上海市嘉定区江桥医院的托管模式为例,从托管原则与目标、人员派驻、管理决策机制及信息化建设等方面的实践经验和初步成效进行总结,获得的启示有:从筹建阶段早期介入有利于对整体医院布局的规划托管;建立在整合型健康共同体的业务联合下,全面托管更有利于医疗资源整合;信息化的顶层设计是紧密型医联体成功的关键。建议:前置思考区域性医疗中心的功能定位;组织融合协同,促进医院管理与医疗服务同质化;打通人财物的困境,为新建区院在整合型健康共同体背景下的全面托管做好铺垫。

Hospital trusteeship is one of the important measures to promote the high-quality medical resources at the grassroots level and the construction of hierarchical diagnosis and treatment system under the new situation.Taking the trusteeship model of Jiangqiao Hospital in Jiading District of Shanghai as an example,the practical experience and initial results of trusteeship principles and objectives,personnel deployment,management and decision-making mechanism and information construction are summarized.The enlightenments are as follows:early intervention in the preparation stage is beneficial to the planning and trusteeship of the overall hospital layout;under the business alliance of integrated health community,comprehensive trusteeship is more conducive to the integration of medical resources;the top-level design of information technology is the key to the success of close-type medical alliance.Suggestions:the functional positioning of regional medical centers should be considered ahead;organizational integration and collaboration promote homogenization of hospital management and medical services;the dilemma of staff,funds and properties should be bridged in order to pave the way for the comprehensive trusteeship model of the newly built district hospitals in the background of the integrated health community.