全病程管理在县域医疗机构落地的经验与反思OA
Experience and reflections on implementing comprehensive disease management in county-level medical institutions
文章以全病程管理在安徽省县域医疗机构的实践应用为范本,从组织架构、流程管理、信息技术、运营服务等方面拆解了实战落地路径,分析了体系建设中面临的多源异构数据安全、人机协同失衡、服务理念转型等现实问题.研究表明,全病程管理是破解县域患者流失难题的有效措施,能够实现患者、医院、医保、医疗体系的多方共赢,但需通过政策完善、资源投入、能力建设破解落地瓶颈,为县域医疗高质量发展提供支撑.
This paper takes the pilot practice of whole-course disease management at the county level in Anhui Province as a case study.It dissects the practical implementation path from the perspectives of organization-al structure,process management,information technology,and operational services,and analyzes practical chal-lenges in system development,including security issues of multi-source heterogeneous data,unbalanced human-machine collaboration,and the transformation of service concepts.The research shows that whole-course disease management serves as an effective measure to address the problem of patient outflow at the county level,enabling a win-win situation for patients,hospitals,medical insurance schemes,and the overall healthcare system.Howev-er,bottlenecks in implementation must be resolved through improved policies,increased resource investment,and capacity building to support the high-quality development of county-level healthcare.
柳震宇;胡志
安徽省健康发展战略研究中心,安徽 合肥 230032安徽省健康发展战略研究中心,安徽 合肥 230032||公共健康社会治理安徽省哲学社会科学重点实验室||安徽医科大学卫生管理学院
医药卫生
全病程管理患者留存分级诊疗医保基金紧密型县域医共体
Whole-course disease managementPatient retentionHierarchical diagnosis and treatmentMedical insurance fundCompact county medical and health community
《中国农村卫生事业管理》 2026 (6)
381-386,396,7
国家自然科学基金项目(71573002)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)
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