CAJ | 학술논문

目的：以江苏省大丰市为例，分析农村卫生服务纵向整合的现状及效果。方法：收集该市实施农村卫生服务纵向整合的政策文件及2012-2013年相关数据，开展相关人员访谈了解整合现状。结果：大丰市纵向整合以虚拟联合的形式开展，组建市级医疗志愿服务团队6支、乡镇卫生院健康管理团队52支；推行紧密型一体化管理，开展乡村医生签约服务，基本建立乡村统一的服务规范及规章制度；率先开通使用居民健康卡，基本实现诊疗信息区域共享。结论：大丰市农村卫生服务在县乡之间和乡村之间分别通过技术协作和托管予以整合，探索以健康管理服务团队为纽带，以紧密型乡村一体化管理为支撑，以乡村医生签约服务为拓展，以居民健康卡为载体，能够为农村卫生服务纵向整合提供借鉴，但仍需进一步加强乡镇卫生院卫生服务能力、明确机构间利益分配关系、整合卫生服务规范并强化卫生信息化管理系统的共享和对接。
목적：이강소성대봉시위례，분석농촌위생복무종향정합적현상급효과。방법：수집해시실시농촌위생복무종향정합적정책문건급2012-2013년상관수거，개전상관인원방담료해정합현상。결과：대봉시종향정합이허의연합적형식개전，조건시급의료지원복무단대6지、향진위생원건강관리단대52지；추행긴밀형일체화관리，개전향촌의생첨약복무，기본건립향촌통일적복무규범급규장제도；솔선개통사용거민건강잡，기본실현진료신식구역공향。결론：대봉시농촌위생복무재현향지간화향촌지간분별통과기술협작화탁관여이정합，탐색이건강관리복무단대위뉴대，이긴밀형향촌일체화관리위지탱，이향촌의생첨약복무위탁전，이거민건강잡위재체，능구위농촌위생복무종향정합제공차감，단잉수진일보가강향진위생원위생복무능력、명학궤구간이익분배관계、정합위생복무규범병강화위생신식화관리계통적공향화대접。
Objective: To analyze the current situation and effect of vertical integrated of rural health services in Dafeng County. Method: Policy documents and data are collected and interviews are implemented for studying the integrated situation. Results: The vertical integration in Dafeng County is virtual joint form with forming 6 city-level medical volunteer service teams and 52 health management teams. With the imple-mentation of fully integrated management, signing service with rural doctor mode is carried out, which pro-mote the establishment of rural unified service standards and regulations. Using health card of residents which promote the regional shared of treatment information. Conclusions: Vertically integrated mode had connection in health management teams, supported by fully integration, developed by signing service with rural doctor and carried by residents’ health card, which could provide reference for implementing vertical integration of rural health service. But strategies needed to be strengthened in improving health services’ ability of township hospitals, clarifying interest relationship as well as integrating health service regulations and strengthen the health information system for sharing and docking.