安徽省ET医疗联合体现状及问题研究

发布时间：2018-01-18 06:07

本文关键词：安徽省ET医疗联合体现状及问题研究　出处：《安徽大学》2017年硕士论文　论文类型：学位论文

【摘要】：医疗联合体在世界范围上获得的重要成就和成功经验表明,医疗联合体的建立和发展有利于深化医药卫生体制改革,组建医疗联合体,有效地发挥三级三甲医院的专业技术优势及带头作用,构建急慢分治、分级诊疗、双向转诊的诊疗模式,促进医疗机构相互间的分工与合作,合理配置医疗卫生资源。安徽ET医疗联合体在这种浪潮中应运而生,在安徽省内发展迅速,逐渐成为开展医护业务培训、促进分级诊疗,推进双向转诊等的重要平台。安徽省ET医疗联合体的建立和发展,受到了本地政府、卫生部门以及学者的广泛关注。资源依赖理论的观点认为,组织的存在和发展离不开与外部资源的交换,在组织生存和发展的过程中,需要依赖外部的资源,在众多的资源中,识别出依赖资源,并且获取该资源的能力对于组织的发展是至关重要的。本研究通过借鉴资源依赖理论的基本观点,对安徽省ET医疗联合体从建立之初到发展至今这一历程进行深入分析,调研过程中,采取了文献研究法、参与观察、个案访谈与开小型座谈会四种形式相结合的研究方法收集资料,通过理论分析与实地调研,对安徽省ET医疗联合体发展情况,影响医疗联合体的发展因素,发展过程中遇到的问题进行分析,提出解决问题的措施。具体来说本文由以下部分组成:第一章为导论部分,介绍医疗联合体发展的背景及研究的意义,总结其他学者对医疗联合体的研究成果,界定相关概念,对资源依赖理论进行分析和阐述。第二章为研究设计。根据本文的研究对象——安徽省ET医疗联合体,收集资料,分析研究问题,制定可行的方案。第三章分析安徽省ET医疗联合体的现状,主要介绍了安徽省ET医疗联合体的建立和发展及影响安徽省ET医疗联合体发展的主要因素,即安徽省ET医疗联合体依赖的环境资源,符号资源,维持医疗联合体基本活动的资源,权力合法性资源四种资源,安徽省ET医疗联合体的主要依赖对象为安徽省卫计委和安徽省ET医院及北京ET医疗集团。第四章主要阐述安徽ET医疗联合体的发展困境,分别从内部和外部原因进行分析,得出内部主要困境为:组织结构不紧密,利益分配制度不完善、组织成员积极性不高;外部主要困境为:体制机制障碍、文化观念阻碍、信息化建设滞后、现有制度不健全。第五章提出安徽省ET医疗联合体走出发展困境的措施,分别从组织内部和外部提出建议,主要包括建立紧密型组织结构,合理分配利益,提高成员单位的组织认同感,消除机制障碍,提升基层服务能力,主管部门完善医疗联合体的相关配套政策,发挥医保杠杆作用,按病种制定医疗联合体转诊、分级诊疗的标准,加快信息化及远程医疗平台的建设,注重文化引导,有序推进工作等措施。
[Abstract]:The important achievements and successful experiences of the medical association in the world show that the establishment and development of the medical association is conducive to deepening the reform of the medical and health system and establishing the medical association. In order to promote the division of labor and cooperation among medical institutions, we should give full play to the professional and technical advantages and the leading role of the third Class A Hospital, construct the diagnosis and treatment mode of acute and slow division of treatment, classified diagnosis and treatment, two-way referral, and promote the division of labor and cooperation among medical institutions. Rational allocation of medical and health resources. Anhui et medical association emerged as the times require in this wave, rapid development in Anhui Province, gradually become to carry out medical training, promote grading diagnosis and treatment. The establishment and development of et medical complex in Anhui Province has been widely concerned by local government, health department and scholars. The existence and development of an organization can not be separated from the exchange of external resources. In the process of organization's survival and development, it needs to rely on external resources, and among many resources, it can be identified as dependent resources. And the ability to obtain the resource is very important for the development of the organization. From the beginning of the establishment to the development of et medical association in Anhui Province from the beginning to the development of this process in-depth analysis, in the process of investigation, the use of literature research method, to participate in the observation. Through theoretical analysis and field investigation, this paper analyzes the development of et medical association in Anhui Province, and influences the development factors of the medical association. This paper is composed of the following parts: the first chapter is the introduction part, introduces the background of the development of the medical association and the significance of the research. Summarize the research results of other scholars on the medical association, define the relevant concepts. The second chapter is the research design. According to the research object of this paper, the et medical association in Anhui Province, collect the data and analyze the research problems. The third chapter analyzes the current situation of et medical association in Anhui Province, mainly introduces the establishment and development of et medical association in Anhui Province and the main factors affecting the development of et medical association in Anhui Province. There are four kinds of resources: environmental resources, symbol resources, basic activities resources and power legitimacy resources of et medical association in Anhui province. The main dependent objects of et medical association in Anhui Province are Anhui Health and Family Planning Commission, et Hospital of Anhui Province and et Medical Group of Beijing. Chapter 4th mainly expounds the development dilemma of et medical association in Anhui Province. From the analysis of internal and external reasons, it is concluded that the main internal difficulties are: the organizational structure is not tight, the benefit distribution system is not perfect, and the enthusiasm of the members of the organization is not high; The main external difficulties are: system and mechanism obstacles, cultural concept obstacles, information construction lags behind, the existing system is not perfect. Chapter 5th puts forward the measures to get out of the development dilemma of et medical association in Anhui Province. Respectively from the organization internal and external suggestions, including the establishment of a tight organizational structure, reasonable distribution of benefits, improve the organizational identity of member units, remove mechanism barriers, improve grass-roots service capacity. The competent departments improve the relevant supporting policies of the medical association, give play to the role of leverage of medical insurance, according to the type of disease to formulate medical association referral, classification of diagnosis and treatment standards, accelerate the construction of information and telemedicine platform. Pay attention to cultural guidance, orderly work and other measures.
【学位授予单位】：安徽大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.1

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