中国农村卫生事业管理2026，Vol.46Issue(6)：381-386,396,7.DOI:10.19955/j.cnki.1005-5916.2026.06.001
全病程管理在县域医疗机构落地的经验与反思
Experience and reflections on implementing comprehensive disease management in county-level medical institutions
摘要
Abstract
This paper takes the pilot practice of whole-course disease management at the county level in Anhui Province as a case study.It dissects the practical implementation path from the perspectives of organization-al structure,process management,information technology,and operational services,and analyzes practical chal-lenges in system development,including security issues of multi-source heterogeneous data,unbalanced human-machine collaboration,and the transformation of service concepts.The research shows that whole-course disease management serves as an effective measure to address the problem of patient outflow at the county level,enabling a win-win situation for patients,hospitals,medical insurance schemes,and the overall healthcare system.Howev-er,bottlenecks in implementation must be resolved through improved policies,increased resource investment,and capacity building to support the high-quality development of county-level healthcare.关键词
全病程管理/患者留存/分级诊疗/医保基金/紧密型县域医共体Key words
Whole-course disease management/Patient retention/Hierarchical diagnosis and treatment/Medical insurance fund/Compact county medical and health community分类
医药卫生引用本文复制引用
柳震宇,胡志..全病程管理在县域医疗机构落地的经验与反思[J].中国农村卫生事业管理,2026,46(6):381-386,396,7.基金项目
国家自然科学基金项目(71573002) （71573002）
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）
