公立医院高质量发展背景下的县域医共体建设

Construction of County-level Medical Communities under the Back-ground of High-quality Development of Public Hospitals

在公立医院高质量发展的脉络下,本研究以深入调研的方式探讨了县域医共体建设的做法、成效、经验问题思考及建议。在做法方面,通过推进“1+8”紧密型医共体建设,详细分析了工作目标、合作内容和双方权利的明确定义,以及在实践中的具体实施过程。成效方面,通过数据支持,凸显了医疗集团全面推进、一体化服务模式平台搭建、医共体内双向转诊渠道畅通等取得的显著成果。在经验问题思考方面,深刻总结了建设紧密型医共体降低“门住比”、提高“病例组合指数值”和提升“满意度”等方面的关键举措。最后,基于实证研究,提出了全面融合医共体建设与公立医院高质量发展的建议,加速信息平台互联互通、完善人事、薪酬考核制度等,为未来工作提供实质性的指导方向。

Under the framework of high-quality development in public hospitals,this study explores the practices,outcomes,experiences,issues,and suggestions related to the construction of county-level medical communities through in-depth research.In terms of practices,the study details the promotion of the"1+8"closely-knit medical community construction,analyzing work objectives,cooperation content,and the clear definition of rights for both par-ties,as well as the specific implementation process in practice.Regarding outcomes,supported by data,the study high-lights significant achievements such as the comprehensive advancement of medical groups,the establishment of inte-grated service model platforms,and the smooth channels for bidirectional referrals within the medical community.In the reflection on experiences and issues,the study deeply summarizes key measures such as reducing the"inpatient-to-outpatient ratio,"increasing the"case mix index,"and improving"satisfaction."Finally,based on empirical re-search,the study proposes suggestions for fully integrating medical community construction with the high-quality de-velopment of public hospitals.These include accelerating the interconnection of information platforms and improving personnel and compensation assessment systems,providing substantial guidance for future work.