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中文摘要: 以宁德市闽东医院医疗集团为例,通过文献分析法确定6大类37个具体指标为评价医疗集团成员医院改革效果指标。研究结果显示,半紧密型成员医院改革效果明显好于松散型成员医院,4家医院改革后在总资产、人力资源、医疗服务能力、医疗服务质量和患者医保自付比例等方面取得阶段性成效,但也存在诸如医疗资源整合效率较低、医疗资源配置仍偏低、下转患者数少及患者次均费用有所增长等问题。本文提出可借鉴三明医改经验,构建紧密型医疗集团;完善配套政策,加强对成员医院的引导和监管,以提升基层医疗服务能力;政府相关部门应适当提高医疗服务价格报销比例,控制次均费用不合理增长。
Abstract:This study takes Mindong hospital medical group in ningde,for example,37 specificindexes in 6 categories were determined as evaluation indexes to measure the effect of hospital reform in medical group members through literature analysis. The results show that the reform effect of semi-tight type member hospitals is significantly better than that of loose type member hospitals. Afterthe reform,the four hospitals have achieved phased results in total assets,human resources,medical service capacity,medical service quality and patient self-payment ratio. However,there are also some problems such as low integration efficiency of medical resources,low allocation of medical resources,low number of transferred patients and increase of per patient cost. The author propose to draw on the experience of SanMing medical reform to build a compact medical group. improve supporting policies,strengthen the guidance and supervision of member hospitals,so as to enhance the capacity of primary medical services;relevant government departments should appropriately improve the proportion of medical service price reimbursement,control the unreasonable growth of average cost and other policy suggestions.
keywords: Medical Group MemberHospitals Reform Effect
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蔡培铭,张 尉,吴 勇.宁德市某医疗集团成员医院改革效果分析[J].江苏卫生事业管理,2022,33(1):1-5.
CAI Peiming,ZHANG Wei,WU Yong.Analysis of the Reform Effect of the Member Hospitals of a Certain Medical Group in Ningde City[J].Jiangsu Health System Management,2022,33(1):1-5.
蔡培铭,张 尉,吴 勇.宁德市某医疗集团成员医院改革效果分析[J].江苏卫生事业管理,2022,33(1):1-5.
CAI Peiming,ZHANG Wei,WU Yong.Analysis of the Reform Effect of the Member Hospitals of a Certain Medical Group in Ningde City[J].Jiangsu Health System Management,2022,33(1):1-5.