中国农村卫生事业管理2026，Vol.46Issue(5)：305-310,331,7.DOI:10.19955/j.cnki.1005-5916.2026.05.001
全病程管理:让病人留在县域就诊的有效措施
Comprehensive disease management:An effective measure to retain patients for county-level medical care
摘要
Abstract
With the in-depth advancement of the construction of China's hierarchical diagnosis and treat-ment system,county-level medical institutions,as the core carrier of primary medical services,are facing promi-nent problems such as patient outflow,medical insurance fund loss,and idle medical resources.From the perspec-tive of health policy research,this paper systematically expounds the current situation and economic impact of county-level medical institutions failing to retain patients through a combination of literature analysis,case study and data demonstration,and analyzes the root causes of the problems from three dimensions:external resource si-phoning,internal capacity weakness and institutional mechanism obstacles.It also proposes a response strategy centered on the construction of a whole-course disease management system,and builds an active service model for the whole population,all diseases and the whole life cycle from three scenarios:pre-diagnosis,in-diagnosis and post-diagnosis.关键词
全病程管理/县域医疗机构/患者留存/分级诊疗/医保基金Key words
Whole-course disease management/County-level medical institutions/Patient retention/Hi-erarchical diagnosis and treatment/Medical insurance fund分类
医药卫生引用本文复制引用
柳震宇,胡志..全病程管理:让病人留在县域就诊的有效措施[J].中国农村卫生事业管理,2026,46(5):305-310,331,7.基金项目
国家自然科学基金项目(71273011) （71273011）
公共健康社会治理安徽省哲学社会科学重点实验室项目(PHG202309) （PHG202309）
