中国县域医共体发展报告（2021）
| 书 名： |
中国县域医共体发展报告（2021） |
| 英 文 名： |
BIENNIAL REPORT ON CHINA’S COUNTY MEDICAL COMMUNITY （2021）
|
| 作 者： |
何振喜 方伟岗 陈航 刘丰梅 主编; 杨洪伟 王雪峰 副主编 |
| I S B N： |
978-7-5201-8490-8 |
| 丛 书 名： |
|
| 关 键 词： |
县域 医疗卫生服务 医共体 |
| 出版时间： |
2021年06月 |
中文摘要
中国的县域医共体建设是在医疗服务体系改革进入深水区、分级诊疗制度建设进入完善和落实关键期的大背景下，基于健康中国战略、乡村振兴战略的要求，遵循“以人民健康为中心”的发展理念，总结“新医改”启动后10余年来的实践经验和教训，顺势推出的健全我国分级诊疗制度、完善医疗服务体系的重要抓手和举措。县域医共体建设的方向和思路确立后，就备受党中央和国务院的重视。中国的县域医共体建设经过前期的试点、扩大试点，目前已经进入规模化试点和县域全覆盖建设的要求阶段。
鉴于中国县域医共体建设的时代性、特色性和其在分级诊疗制度建设、医疗服务体系改革以及城乡医疗卫生一体化中的重要性，本编委会经过精心策划、组织和研讨，经过一年多的打磨，方得以成文，概要如下。本成果在结构上分为总报告、统筹篇、地区篇和专题篇四个部分。第一部分是总报告，主要是基于国家的医疗服务体系建设需要服从和服务于国家的经济和社会发展总目标、战略和实施步骤，分级诊疗制度建设是新时期构建优质高效医疗卫生服务体系的重大举措的思想和建立分级诊疗制度、组建县域医共体是推进健康中国实施的坚实保障的认识，梳理介绍了中国的医疗卫生服务体系、分级诊疗制度的建设演进以及“新医改”启动后在医疗联合体建设方面的探索。然后，在介绍中国县域医共体建设现状和特点的基础上，梳理总结了中国县域医共体建设在试点和探索过程中出现的问题，总结提炼了推进县域医共体建设的难点，并据此从战略性和策略性层面提出了推进县域医共体建设的对策建议。第二部分是统筹篇，分别从县域医共体信息化建设、远程协作、智慧分级诊疗以及远程专科协同救治方面介绍了县域医共体建设的经验和遇到的问题以及下一步的建设思路和方向。第三部分是地区篇，介绍了河北围场、云南东川、河南郾城、广东阳山、浙江德清和江苏浦口这6个经过严格筛选且各具特色的典型地区的医共体建设情况与经验。第四部分是专题篇，从县域医共体建设实际经济成效的角度，选择不同案例分析县域医共体信息化建设带来的实际经济效果；从县域医共体内主要参与者利益诉求的角度，利用博弈论理论分析县级政府、县级医院、乡镇卫生院和村卫生室等各主体的合作动力，试图通过理论分析和评价探求县域医共体建设的内生动力及下一步县域医共体建设需要医疗改革支持的改革方向；从县域医共体系统内各主体利益的角度，利用博弈论的局势稳定分析的方法试图探求县域医共体建设的稳定且有效的组建模式。
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专题篇
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