松散型与紧密型医联体管理模式的应用对比与分析
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摘要
目的探索松散型与紧密型医联体管理模式的应用对比及分析效果。方法将广西河池市人民医院(2017年4月—2018年4月)与4所县级医院和1所民营医院构建紧密型医联体,形成以利益分享、责任分担的管理模式,与该院(2016年4月—2017年4月)建立的松散型医联体进行对比及效果分析。结果实施紧密型医联体管理后12个月,进行成员医院医疗管理质量前、后比较,差异有统计学意义(P<0.01);医院床位使用率、业务收入及远程会诊等,与去年同期比较,增长显著,而向上转诊人数明显减少。结论紧密型医联体管理后,有效实现优质医疗资源下沉,提升基层医院服务能力,促进分级诊疗就医格局形成,为基层群众提供更加优质、高效、便捷的医疗服务。
Objective To compare and analyze the effects of loose medical consortium and close medical consortium management mode.Methods The close medical consortium management mode was established by our hospital with four county hospitals and one private hospital from April 2017 to April 2018.Members in the consortium group would share benefits and responsibilities to achieve their development goals.We conduct a comparison of its effects with a loose medical consortium that established by our hospital from April 2016 to April 2017.Results After 12-month implementation of close medical consortium management,there is a significant difference in medical management quality in member hospitals,statistically(p<0.01),comparing with the previous loose consortium.Bed usage rates,business income and remote consultations had increased compared with the corresponding period,while the upward referrals decreased,significantly.Conclusion The practice of close medical consortium management has effectively accelerated the resource sharing among superior hospitals with lower-leveled hospitals,enhanced the service capacity of primary hospitals,and promoted the formation of hierarchical medical treatment pattern so as to provide more excellent,efficient and convenient medical services for the people.
Objective To compare and analyze the effects of loose medical consortium and close medical consortium management mode.Methods The close medical consortium management mode was established by our hospital with four county hospitals and one private hospital from April 2017 to April 2018.Members in the consortium group would share benefits and responsibilities to achieve their development goals.We conduct a comparison of its effects with a loose medical consortium that established by our hospital from April 2016 to April 2017.Results After 12-month implementation of close medical consortium management,there is a significant difference in medical management quality in member hospitals,statistically(p<0.01),comparing with the previous loose consortium.Bed usage rates,business income and remote consultations had increased compared with the corresponding period,while the upward referrals decreased,significantly.Conclusion The practice of close medical consortium management has effectively accelerated the resource sharing among superior hospitals with lower-leveled hospitals,enhanced the service capacity of primary hospitals,and promoted the formation of hierarchical medical treatment pattern so as to provide more excellent,efficient and convenient medical services for the people.
引文
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[2]李婷,郭帅,马天翼,等.“互联网+”视角下的分级诊疗体系构建[J].中国卫生经济,2016,35(12):38-40.
[3]黄培,易利华.3种不同类型医联体模式的实践与思考[J].中国医院管理,2015,35(2):16-19.
[4]孟群,尹新,党敬申.互联网+分级诊疗模式的思考[J].中国卫生信息管理杂志,2016,13(2):111-114,127.
[5]林辉,董津.互联网+医联体助力分级诊疗落地[J].中国医院,2017,21(5):52-53.
[6]黄显官,王林智,余郭莉,等.医联体模式及其发展的研究[J].卫生经济研究,2016,33(3):10-12.
[7]张怡,杨洋,李笠,等.专科型医联体管理模式的构建[J].中国卫生质量管理,2016,22(5):95-98.
[8]黄良棕.紧密型医联体-社区医养结合模式探讨[J].深圳中西医结合杂志,2017,27(7):195-196.
[9]何思长,赵大仁,张瑞华,等.我国分级诊疗的实施现状与思考[J].现代医院管理,2015,13(2):20-22.
[10]田璐.天津某医院实施医联体建设的探索与思考[J].中华医院管理杂志,2014,30(1):72-75.
[11]张茂发.县域医联体的现状及思考[J].中国卫生产业,2016,14(15):37-39
[12]孙卫.区域卫生信息平台功能分级初步探讨[J].中国卫生信息管理杂志,2014,11(2):160-163.
[13]孟群,尹新,梁宸.中国“互联网+健康医疗”现状与发展综述[J].中国卫生信息管理杂志,2017,14(2):110-118.