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重庆市彭水县基层医疗卫生横向医联体改革成效分析 被引量:6

Effectiveness Analysis of Horizontally Integrated Primary Healthcare Practice in Pengshui County,Chongqing City
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摘要 目的:研究彭水县基层医疗横向医联体卫生改革模式,分析其改革成效。方法:采用文献分析和现场调研相结合的方法分析彭水县基层医疗卫生改革的背景、模式、利弊,对比2009年至2017年彭水县与各县医疗卫生服务各项指标变化趋势分析改革成效。结果:彭水县40个基层医疗机构全部参与组建横向医联体,发挥机制优势,解决筹资难题,在改善硬件设施、提升卫生人员积极性、服务能力和服务效益等方面得到显著成效。结论:彭水县基层医疗卫生机构横向医联体模式的探索破解了基层卫生综合改革难题,较好地满足了利益相关者的诉求。 Objective:To study the reform mode of primary health care in Pengshui County and analyze the effect of the reform and provide successful experience for implementing grading health care.Methods:Through the literature review analysis and field investigation,the background,methods,advantage and insufficiency of the reform were explored.Meanwhile,the results were analyzed by comparing the changes of various indicators of medical and health services between Pengshui county and other counties from 2009 to 2017.Results:40 primary health institutions in Pengshui are all involved in the formation of the horizontal medical alliance.It plays the advantages of mechanism and solves the financing difficulty.The hardware facilities,health worker’s enthusiasm,service ability and efficiency have been improved greatly.Conclusion:The explore of horizontally integrated primary healthcare mode in Pengshui County solved the conundrum of comprehensive health reform at the primary level and satisfied the needs of stakeholders.
作者 马艺 李顺平 Ma Yi(National Center for Women and Children’s Health,China CDC,Beijing,100081)
出处 《医学与社会》 北大核心 2019年第2期52-55,64,共5页 Medicine and Society
关键词 医联体 基层医疗卫生 Medical Integration Primary Health Care
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