紧密型县域医共体内医疗质量同质化管理的演化博弈分析

An Evolutionary Game Analysis on the Management of Medical Quality Homogeneity in Tight County Medical Community

紧密型县域医共体建设作为分级诊疗和健康中国建设的重要抓手,是乡村振兴的重要支撑。积极推进紧密型县域医疗服务一体化改革是解决当前基层医疗卫生资源配置不合理、质量不高、服务体系割裂的关键举措。基层医疗质量是人民健康的重要保障和卫生健康事业发展的基石。持续改进医疗质量是落实党中央、国务院战略部署,推进健康中国建设的基础性、核心性工作。文章在医疗质量同质化视角下,尝试构建一个以政府部门和基层医疗服务机构为相关利益主体的博弈模型,探讨在紧密型县域医共体建设背景下,基层医疗服务机构开展医疗质量同质化管理的选择动机及影响因素,并在此基础上完善促进紧密型县域医共体内医疗质量同质化管理的策略建议。

The construction of a compact county-level medical community,as an important lever for graded diagnosis and treatment and the construction of a healthy China,is an important support for rural revitalization.Actively promoting the integrated reform of tight county-level medical services is a key measure to address the current unreasonable allocation,low quality,and fragmented service system of grassroots medical and health resources.The quality of primary healthcare is an important guarantee for people's health and the cornerstone of the development of healthcare.Continuous improvement of medical quality is the fundamental and core work for implementing the strategic deployment of the Party Central Committee and the State Council,and promoting the construction of a healthy China.This article attempts to construct a game model from the perspective of medical quality homogenization,with government departments and grassroots medical service institutions as the relevant stakeholders.It explores the selection motivation and influencing factors of grassroots medical service institutions to carry out medical quality homogenization management in the context of the construction of a close county medical community,and based on this,improves the strategic suggestions for promoting medical quality homogenization management in the close county medical community.