中国县域医共体发展报告（2024～2025）
中文摘要
深化医药卫生体制改革是维护人民群众健康福祉的重大民生工程、民心工程。当前，深化医药卫生体制改革进入高质量发展、高水平建设阶段。为贯彻落实党的二十大做出的战略部署和党的二十届三中全会精神、贯彻落实习近平总书记关于深化医药卫生体制改革的重要讲话和重要指示批示精神，为全面系统深入总结三明医改经验，更好把握学习推广三明医改经验的要求和落实情况，从而更好地服务全面深化医药卫生体制改革和健康中国战略，本报告在系统梳理三明医改经验体系的基础上，遵循为什么学习推广三明经验、三明医改经验是什么、怎么学习推广三明医改经验、学习推广三明经验成效的逻辑，在结构上分为总报告、经验篇、经验推广篇、推广成效篇和案例篇。
“总报告”基于三明医改方向正确、路径清晰、措施有力、成效明显，是全国医改标杆的现实，系统阐述了因地制宜学习推广三明医改经验是推动卫生健康事业高质量发展的重要举措。“经验篇”根据三明医改经验形成的阶段性和发展的迭代性及其经验体系性，在结构上分为启动阶段经验、规范阶段经验和提升阶段经验，以及贯穿整个医改过程的精神内核和核心经验四个部分。“经验推广篇”基于推广三明医改经验是深化医改的一项重要内容和抓手的现实，在结构上分为学习推广三明医改经验的必要性与可行性，学习推广三明医改经验的历程、现状与未来趋势，学习借鉴三明医改经验的历程、现状与趋势分析，学习推广三明医改经验的重点、难点分析与对策建议等四个部分。“推广成效篇”基于在党中央、国务院的推动下，三明医改经验经过了推广、进一步推广和深入推广三个阶段的实际，在结构上重点分析了领导体制和组织机制、“三医”联动、薪酬分配激励机制和紧密型县域医共体建设等四个核心经验的推广成效。“案例篇”依据全国各地学习借鉴三明医改经验进一步全面推进深化医药卫生体制改革的实际，基于典型性、代表性、示范性的原则，设计了能够体现政府履行办医责任、保障公立医院公益性经验，“三医”联动经验，薪酬制度改革经验和紧密型县域医共体建设经验的四个案例。
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总报告
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经验篇
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经验推广篇
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推广成效篇
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案例篇
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