CAJ | 학술논문

以省级大型公立三甲医院托管县级医院模式组建新型区域性医疗联合体，可以优化医疗资源配置，推进双向转诊与病人合理分流，推动医师多点执业，不断提升区域医疗服务水平，实现县级公立医院综合改革的医改目标。通过对湖北省人民医院托管两所县级医院的概况进行介绍，分析其运行成效及存在的问题，从推动医疗资源重组；明确各方角色定位；厘清托管医院的内部治理结构；加强政策引导，增强托管内在发展动力；强化配套支持，逐步完善医联体功能等方面提出省级医院托管县级医院构建医联体的发展对策和建议。
이성급대형공립삼갑의원탁관현급의원모식조건신형구역성의료연합체，가이우화의료자원배치，추진쌍향전진여병인합리분류，추동의사다점집업，불단제승구역의료복무수평，실현현급공립의원종합개혁적의개목표。통과대호북성인민의원탁관량소현급의원적개황진행개소，분석기운행성효급존재적문제，종추동의료자원중조；명학각방각색정위；전청탁관의원적내부치리결구；가강정책인도，증강탁관내재발전동력；강화배투지지，축보완선의련체공능등방면제출성급의원탁관현급의원구건의련체적발전대책화건의。
Establishing regional medical group by provincial hospital entrusted county level hospital can optimize medical resources allocation, promote dual referral and rational shunt of patients, promote multi-site physician practice and improve regional medical service level constantly and achieve the goal of comprehensive reform of county-level hospital. Through a brief introduction of Hubei Provincial People’s Hospital entrusting two county-level hospitals, the running status and existing problems are analyzed. Countermeasures in view of promoting medical resources reconstruction, definition stakeholders’ role, optimizing entrusted hospital’s internal governance structure, strengthening policy support and continuous completion medical group function are presented.