基于共生理论的县域医共体医防协同问题剖析与路径探讨
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1.安徽医科大学卫生管理学院;2.安徽医科大学第一附属医院;3.安徽医科大学第一临床医学院

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2018年国家自然科学基金“基于RBRVS的县级公立医院医生绩效薪酬分配机制研究”(71774001)


Research on the Questions and Path of Medical-prevention Coordination in County Medical Alliance Based on Symbiosis Theory
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1.The First Affiliated Hospital of Anhui Medical University;2.The First Clinical School of Anhui Medical University;3.School of Health Management, Anhui Medical University

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    摘要:

    医防协同是保障人体全生命周期健康、应对传染病的有效路径,县域医共体是基层医疗卫生服务体系建设的重要载体。如何以基层为重点,探索优化新形势下医防协同路径成为医改的聚焦点。本文详细阐述了我国县域医疗卫生服务体系医防协同建设中面临的困境与关键问题,借助共生理论的分析框架,具体、深入地从共生单元、共生基质、共生环境及共生模式4个维度分析县域医共体医防协同的共生要素,并提出保证共生单元协同发展、打牢共生基质坚实基础、完善政策法规共生环境、打造互惠对称共生模式的发展路径,探索建立我国县域医共体层面医防协同高效运行的策略和优化路径。

    Abstract:

    Medical-prevention coordination is an effective way to protect human health throughout the life cycle and deal with infectious diseases. County medical alliance is an important carrier for the construction of primary medical and health service system. How to focus on the grass-roots level and explore and optimize the collaborative path of medical prevention under the new situation has become the focus of medical reform. This paper elaborates on the dilemmas and key issues in the construction of the medical and prevention coordination of the county medical and health service system in China, with the help of the analysis framework of symbiosis theory, and analyzes the symbiosis elements of medical-prevention coordination in county medical alliance from the aspects of symbiosis unit, symbiosis matrix, symbiosis environment and symbiosis mode. In addition, strategies and optimal paths were explored to establish the efficient operation of medical-prevention coordination at the common level of county medical alliance in China, such as ensuring the coordinated development of symbiotic units, laying a solid foundation for symbiotic substrates, improving the symbiotic environment of policies and regulations, and creating a mutually beneficial and symmetrical symbiotic mode.

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  • 收稿日期:2021-11-23
  • 最后修改日期:2022-01-05
  • 录用日期:2022-02-22
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