摘要
城市医疗集团是为社区居民均衡提供连续医疗服务的整合型医疗卫生服务模式。自2017年国家启动医联体建设项目以来,城市医疗集团内部各医疗机构面临多种利益冲突,一定程度上制约了城市医疗集团的稳定运行和创新发展。作者基于利益主体关系与利益诉求分析框架,提炼了4种城市医疗集团内部利益分配模式,即互惠共生模式、协同模式、不对称模式和冲突模式,从决策机制、信息共享、谈判协商渠道、利益分配平衡性和监管机制等方面剖析共性焦点问题,并提出相应优化路径,以期为促进集团的持续稳定发展提供参考。
Urban medical groups serve as an integrated healthcare service mode that provides continuous medical services for residents in a balanced manner.Since China launched construction project of medical alliances in 2017,various medical institutions within urban medical groups have faced many conflicts of benefit,which have to some extent constrained the stable operation and innovative development of urban medical groups.Based on the analysis framework of the subject relationship and demands of benefit,the authors distilled four internal benefit distribution modes of urban medical groups,namely mutualistic symbiotic mode,collaborative mode,asymmetric mode,and conflict mode.The common focus issues were analyzed from the aspects of decision-making mechanism,information sharing,negotiation channels,balance of interest distribution,and supervision mechanism,and corresponding optimization paths were proposed to provide reference for promoting the sustainable and stable development of urban medical groups.
作者
林陶玉
方鹏骞
Lin Taoyu;Fang Pengqian(Nursing Department,People′s Hospital of Suzhou New District,Suzhou 215129,China;Institute of Health Policy and Management(Think Tank),Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《中华医院管理杂志》
北大核心
2025年第4期276-281,共6页
Chinese Journal of Hospital Administration
基金
国家自然科学基金(72064033)。
关键词
卫生保健联合体
城市医疗集团
利益分配
模式
优化路径
Health care coalitions
Urban medical groups
Benefit distribution
Mode
Optimization path
作者简介
通信作者:方鹏骞,Email:pfang@tjmu.edu.cn。
