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责任和利益共同体:推动县域医共体建设的核心动力OA

Community of responsibility and interests:the core driving force behind the development of county-level medical consortia

中文摘要英文摘要

推进紧密型县域医共体建设是深化"三医"改革、优化医疗卫生资源配置、提升基层医疗卫生体系能力、建设健康县域的重要举措.在推进县域医共体建设中,责任共同体和利益共同体起到关键作用,建立明确的责任引领和利益驱动机制,县域医共体建设将会事半功倍.文章从相关基本概念和理论入手,阐述了县域医共体建设与县级公立医院发展之间相互依存、互惠双赢的战略与战术关系,结合安徽省金寨县和濉溪县的实践路径,阐明责任共同体和利益共同体在紧密型县域医共体建设中的做法与成效.该文认为:通过强化责任、落实利益,构建紧密型县域医共体建设和县级公立医院发展的新格局.通过完善健康促进工作机制,让患者少生病少住院,构建新时代"大健康"服务新模式.通过医共体高质量建设,把患者留在县域就诊,节约有限的医保基金,构建保护县域老百姓健康新机制,在实现乡村振兴和健康中国战略中发挥县域医共体应有的作用.

Promoting the construction of closely integrated county-level medical communities is an impor-tant measure to deepen the reforms "three medical system",optimize the allocation of medical and health re-sources,enhance the capacity of grassroots medical and health systems,and build healthy counties.In the process of advancing the construction of county-level medical communities,the community of shared responsibility and the community of shared interests play a key role.Establishing clear mechanisms for responsibility leadership and in-terest-driven mechanisms will make the construction of county-level medical communities more efficient.This arti-cle started from relevant basic concepts and theories,elaborating on the interdependent and reciprocity mutually beneficial strategic and tactical relationship between the construction of county-level medical communities and the development of county-level public hospitals.Combining the practical approaches of Jinzhai County and Suixi County in Anhui Province,it clarified the practices and achievements of the community of shared responsibility and the community of shared interests in the construction of closely integrated county-level medical communities.The article indicated that by strengthening responsibility and implementing interests,a new pattern can be constructed for the construction of closely integrated county-level medical communities and the development of county-level public hospitals.By enhancing health promotion mechanisms,patients could be made to fall ill less often and re-quire fewer hospitalizations,thereby building a new model of "comprehensive health" services in the new era.Through high-quality construction of medical communities,patients could be retained for treatment within the coun-ty,conserving limited medical insurance funds and establishing a new mechanism to protect the health of county residents,thereby playing the due role of county medical communities in achieving rural revitalization and the Healthy China strategy.

胡志

公共健康社会治理安徽省哲学社会科学重点实验室,安徽 合肥 230032||安徽省健康发展战略研究中心||安徽医科大学卫生管理学院

医药卫生

县域医共体县级公立医院责任共同体利益共同体金寨县濉溪县新格局

County-level medical communitiesCounty-level public hospitalsCommunity of shared re-sponsibilityCommunity of shared interestsJinzhai CountySuixi CountyThe new paradigm

《中国农村卫生事业管理》 2026 (1)

2-8,7

国家自然科学基金项目(71273011)公共健康社会治理安徽省哲学社会科学重点实验室项目(PHG202309)

10.19955/j.cnki.1005-5916.2026.01.001

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