县域医共体建设试点医院的实践与成效分析

目的评价浙江省县域医共体建设某试点医院的综合改革实施效果。方法通过搜集县域医共体建设试点医院成立一年来的相关医疗业务、财务运行及上下转诊等数据,对比医共体总院和医共体分院的发展趋势。结果自医共体成立以来,2018年医共体分院的门急诊人次、门诊总收入、出院人次、出院总收入增长率均高于医共体总院。门诊均次费用、住院均次费用增长率均低于总院。结论县域医共体的建设提升了乡镇卫生院的整体医疗卫生服务能力,有力地推动了医疗卫生工作重心下移、关口前移,有效缓解了基层群众就医难的问题。

Analysis on the practice and effectiveness for county medical alliance Construction in a pilot hospital

Objective To evaluate the effect of county medical alliance within a pilot hospital in Zhejiang Province.Methods By collecting data on relevant medical services,financial operations and referrals from the general hospital and branches for county medical alliance construction in the past year,the development trends of the general hospital and the branches were compared.Results Since the establishment of the medical alliance,the growth rate of emergency department visits,outpatient service,hospital discharges,and total discharge income of the medical alliance branches in 2018 were higher than those of the general hospital.The average cost of outpatient service and the average cost of hospitalization were lower than those of the general hospital.Conclusion The construction of the county medical alliance has improved the overall medical and health service capacity of township hospitals,promoted localization of the center of medical and health work,and moved forward effectively,and alleviated the problem of seeking medical care for people.