关键词: 紧密型, 城市医疗集团, 对策研究

Abstract: Objective To summarize and analyze the practical experience of compact city medical groups in five provinces and cities in East China,for reference of promoting the construction of compact city medical groups,and promoting the optimization,integration and efficient utilization of medical resources in the region. Methods The content analysis method was used to sort out and compare the practical experience of building such compact medical groups in Shanghai Minhang,Zhejiang Huzhou,Jiangsu Huai'an,Anhui Tongling and Shandong Qingdao from the four dimensions of responsibility and power synergy,resource synergy,business synergy and mechanism synergy. Results Such medical groups are characterized by government-led,group co-construction,integrated management,and homogeneous services.However,there are such problems as mismatched ownership of rights and responsibilities,lack of interest distribution mechanism,unbalanced information construction,insufficient primary service capacity,incomplete integrated management,and mechanism coordination to be strengthened. Conclusions It is recommended to effectively promote the high-quality development of compact city medical groups by improving the governance system,balancing the distribution of interests,strengthening digital empowerment,promoting the strengthening of energy,and implementing supporting policies.

Key words: compact, city medical group, countermeasure research