目的:通过对余姚市实施县乡医疗资源整合的主要做法,改革取得的成效及经验等进行分析和总结,梳理我国县乡医疗资源总结的特色模式和成功经验。并提出进一步全面推广的政策建议。方法:综合运用了问卷调查、知情人访谈、政策分析、文献分析和数理统计等方法。结果:浙江省余姚市探索了资源共享、资源归类、资源辐射和资源集中配给等资源整合模式,组建了以临床检验中心为代表的五大中心,实施了与临床检验、消毒供应、卫生物资采购、慢性病诊断及医学影像会诊等相关的资源整合和改革。结论:浙江省余姚市县乡医疗资源整合改革实施一段时间以来,取得了较好的成效,其做法和经验值得推广。
Objective: Through the main implementation of county and township government medical resources integration in Yuyao City, to analyze and summarize the reform achievement and experience of county and township government in China, combing the characteristics of medical resources summary mode and successful experience, and to put forward the comprehensive promotion of policy suggestions. Methods: Using questionnaire survey, insider interview, policy analysis, literature analysis and mathematical statistics method. Results: Zhejiang Province Yuyao City explores the resource sharing, resource classification, resources radiation and concentrate resources rationing and resource integration model, establishes the clinical inspection center as a representative of the five center, anti implements clinical inspection, disinfection supply, health supplies procurement, chronic disease diagnosis and medical image consultation and other related resources integration and reform. Conclusion: Zhejiang Province Yuyao City medical resources integration reform has implemented for a long time now, and has achieved good results, and its practice and experience is worthy to be popularized.