县域医共体人才柔性流动机制研究OA

Objective Against the backdrop of advancing tightly integrated county-level medical consortia,this study analyzes the institutional connotations,operational logic,and practical effects of flexible mobility of county-level health personnel,explores its role in addressing the structural shortage of talent in primary healthcare institutions,and provides references for personnel system reform in county-level health systems.Methods This study employed a combination of literature review,policy text analysis,and comparative case study methods.Domestic and international research findings and policy documents related to county-level medical consortia,primary healthcare workforce allocation,and talent mobility management were systematically reviewed.On this basis,an analytical framework was constructed around staffing coordination,post mobility,post linkage,and incentive support.Following the principles of representativeness,policy completeness,and data availability,Anhui,Zhejiang,and Weihai in Shandong Province were selected as typical cases for comparative analysis.Results Flexible mobility of health personnel within county-level medical consortia is mainly reflected in two mechanisms:coordinated staffing allocation and bidirectional mobility-based deployment.The former improves the efficiency of staffing resource allocation in primary healthcare institutions through a cycle of"centralized coordination-demand-based adjustment-staff-post linkage-dynamic recovery,"while the latter promotes the orderly flow of professional personnel between county and township institutions through downward support,rotational exchange,and dual appointment or part-time arrangements.Under the support of fiscal coordination,unified recruitment,performance-based incentives,and medical insurance policies,the two mechanisms generate synergistic effects.However,regional differences remain in terms of institutional integration,governance capacity,and sustainability of support.Conclusions The mechanism of flexible talent mobility in county-level medical consortia provides a feasible pathway for optimizing county-level health workforce allocation and alleviating persistent problems in primary healthcare institutions,namely difficulties in recruitment,retention,and effective utilization of talent.In the future,it is necessary to further strengthen cross-departmental policy coordination,improve fiscal and medical insurance support mechanisms,and promote the standardization,legalization,and long-term institutionalization of related reforms.