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创建国家儿童区域医疗中心的实践与探索OA

Practice and exploration of establishing a national children's regional medical center

中文摘要英文摘要

国家区域医疗中心建设是"十四五"期间推动优质医疗资源均衡布局的重要战略.本文以中南地区某医院为研究对象,系统梳理其在争创国家儿童区域医疗中心过程中的现实基础、主要困境与突破路径.研究发现,人才瓶颈、科研能力不足、区域协同机制不健全是当前的核心难题,同时,政策支持与制度匹配不足进一步加剧了运营压力与行政管理困境:同质化管理未实质落地、地方财政兜底政策迟滞、行政定级与实名编制严重不足等均制约了医院的发展与资源整合能力.面对挑战,某医院通过构建人才引育机制、强化学科建设、推进医联体协同,初步形成了具有示范意义的发展模式.文章总结出一条可供借鉴的建设路径,为地级市儿童专科医院高质量发展提供了实证经验与政策建议.

The construction of national regional medical centers is a crucial strategy during the"14th Five-Year Plan"period to promote the balanced layout of high-quality medical resources.Taking a hospital in Central and Southern China as the research object,this paper systematically reviews its realistic foundation,main dilemmas,and breakthrough paths in the process of striving to become a National Children's Regional Medical Center.The study finds that talent bottlenecks,insufficient research capabilities,and imperfect regional coordination mechanisms are the current core challenges.Meanwhile,insufficient policy sup-port and institutional alignment further exacerbate operational pressures and administrative difficulties.Issues such as the lack of substantial implementation of homogeneous management,delays in local fiscal guarantee policies,and severe shortages in admin-istrative grading and formal staffing quotas restrict the hospital's development and resource integration capabilities.Facing these challenges,the hospital has constructed a talent introduction and cultivation mechanism,strengthened discipline construction,and promoted medical consortium collaboration,initially forming a development model with demonstrative significance.This arti-cle summarizes a referenceable construction path,providing empirical experience and policy recommendations for the high-quality development of prefecture-level children's specialized hospitals.

郭嘉韵;李舒;谭鲱璐;刘秋明;徐宁;马良;罗睿

广州医科大大学附属妇女儿童医疗中心 广东 广州 510623广州医科大大学附属妇女儿童医疗中心 广东 广州 510623广州医科大大学附属妇女儿童医疗中心 广东 广州 510623广州市妇女儿童医疗中心柳州医院 广西柳州 545006广州市妇女儿童医疗中心柳州医院 广西柳州 545006河南省肿瘤医院 河南郑州 450008广州医科大大学附属妇女儿童医疗中心 广东 广州 510623

医药卫生

国家区域医疗中心儿童专科医院困境与突破

National regional medical centerChildren's specialized hospitalDilemma and breakthrough

《现代医院》 2026 (4)

538-541,551,5

国家自然科学基金项目(71704031)广州市卫生健康科技项目(一般引导项目)(2025A03J4425)

10.3969/j.issn.1671-332X.2026.04.003

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