单一县域医共体医疗服务能力研究OA

Objective To explore the operational effectiveness of a single medical consortium in enhan-cing the capacity of primary healthcare services.Methods Taking the Dongyang Medical Consortium as a case study,this research employed the case study method and utilized the SERVQUAL model of service quality to con-struct an evaluation system across five dimensions:tangibility,reliability,responsiveness,assurance,and empa-thy.This system was used to assess the impact of the single medical consortium's development on the capacity of primary healthcare services.Results In the dimension of tangibles,hardware facilities and information technolo-gy support have been significantly strengthened,achieving interconnectivity of county-level data.In the dimensions of reliability and assurance,through unified quality control and talent coordination,the incidence of medical safety adverse events decreased by 75％year-on-year,the rates of standardized management and control for hypertension and diabetes improved substantially,and the stability of the workforce was significantly enhanced.In the dimen-sion of responsiveness,emergency response times and waiting times for medical visits were noticeably shortened,and the efficiency of two-way referrals significantly improved.In the dimension of empathy,services for the con-venience and benefit of the public have been continuously optimized,raising public satisfaction from 77.5％prior to the reform to 95.1％.Conclusion The development of a single medical consortium markedly enhanced the ca-pacity of primary healthcare services,standardized the management of chronic diseases,and effectively improved the quality of chronic disease management.It provides empirical support and policy references for deepening medi-cal consortium reforms in terms of county-wide resource integration and homogenized development.