首页|期刊导航|中国农村卫生事业管理|一体化管理 同质化服务 差异化发展助力紧密型医共体建设

一体化管理 同质化服务 差异化发展助力紧密型医共体建设OA

Integrated management,homogeneous services and differentiated development facilitate the construction of compact medical communities

中文摘要英文摘要

在"健康中国"战略与深化医改的政策驱动下,紧密型医共体建设成为破解医疗资源配置不均、提升医疗服务质量的重要路径.文章深入剖析基层医疗资源短缺、服务能力薄弱等现实困境,围绕"一体化管理、同质化服务、差异化发展"三大核心策略,系统阐述其在紧密型医共体建设中的实践应用,通过构建人、财、物等五个一体化管理体系,推进同质化培训和同质化医疗质量质控等举措,实施"一院一策"差异化发展策略.以曾都区为例,实证该模式在推动分级诊疗制度落地、提升区域医疗服务效能、减轻群众就医负担等方面的显著成效,为全国紧密型医共体建设提供可复制、可推广的经验范式,助力实现"小病不出村、大病不出县"的医疗服务新格局.同时,对建设过程中面临的体制机制障碍、资源整合难点等挑战进行分析,并展望未来发展前景.

Under the policy impetus of the"Healthy China 2030"and the deepening of medical reform,the construction of compact medical communities has become an important path to solve the problem of uneven dis-tribution of medical resources and improve the quality of medical services.This article analyzes in depth the cur-rent predicaments such as the shortage of medical resources and weak service capabilities at the grassroots level.It systematically expounds the practical application of the three core strategies of"integrated management,homogene-ous services,and differentiated development"in the construction of compact medical communities.Through the establishment of an"integrated"management system covering personnel,finance,and materials,and by promo-ting homogeneous training and homogeneous medical quality control,it implements the differentiated development strategy of"one hospital,one policy".Taking Zengdu District as an example,it empirically demonstrates the sig-nificant achievements of this model in promoting the implementation of the hierarchical medical system,enhancing the efficiency of regional medical services,and reducing the burden of medical treatment for the public.It provides a replicable and scalable model for the construction of compact medical communities across the country,contribu-ting to the realization of a new medical service pattern where"minor illnesses are treated within the village and ma-jor illnesses within the county".Meanwhile,it analyzes the challenges faced during the construction process,such as institutional and mechanism obstacles and difficulties in resource integration,and looks forward to the future de-velopment prospects.

华晶晶;杜红刚;项辉

随州市曾都医院,湖北 随州 441300随州市曾都医院,湖北 随州 441300随州市曾都医院,湖北 随州 441300||武汉大学中南医院重症医学科

医药卫生

紧密型医共体一体化管理同质化服务差异化发展医疗改革分级诊疗医疗质量

Compact medical communityIntegrated managementHomogeneous servicesDifferentiated developmentMedical reformHierarchical diagnosis and treatmentMedical quality

《中国农村卫生事业管理》 2026 (2)

95-100,6

10.19955/j.cnki.1005-5916.2026.02.004

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