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中国城市医疗集团价值评估：来自深圳大鹏新区的案例

Value Evaluation for Urban Medical Groups in China: A Case From Dapeng New District in Shenzhen.

作者信息

Cui Yan, Shi Leiyu, Tang Shilan, Yang Yansui, Ren Lijie

机构信息

Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA.

Shenzhen Dapeng New District Medical and Health Group Shenzhen China.

出版信息

Health Care Sci. 2025 Apr 17;4(3):206-214. doi: 10.1002/hcs2.70014. eCollection 2025 Jun.

DOI:10.1002/hcs2.70014
PMID:40568627
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12185367/
Abstract

BACKGROUND

An urban medical group in Dapeng New District was established in 2017 with the objective of enhancing outcomes for common diseases and reinforcing primary care by integrating high-level hospitals with primary health services. This study aimed to evaluate the performance of the urban medical group using the triangular value chain framework.

METHODS

The evaluation was conducted using the Donabedian model, focusing on three key dimensions: safety and quality, accessibility, and affordability. Longitudinal data were collected from 2016 to 2022 through government annual reports, the medical insurance bureau, and hospital information systems. Preprogram and postprogram outcome measurements were compared to assess differences and trends, providing a clear picture of the program's effectiveness.

RESULTS

Accessibility improved significantly, with the number of hospital beds per 1000 residents increasing from 2.62 in 2017 to 3.76 in 2022. The availability of general practitioners (GPs) also rose markedly, from 0 per 10,000 residents in 2017 to 6.27 in 2022. Regarding safety and quality, the proportion of complex medical procedures conducted within the New District expanded substantially, from 7.35% in 2017 to 38.11% in 2021. Additionally, there was an enhancement in the standardized management rate of chronic diseases. Affordability assessments showed that the proportion of medical income derived from the medical insurance fund increased by nearly 22.81 percentage points between 2012 and 2021. By 2021, 75.02% of medical patients were covered by medical insurance, representing an increase of approximately 44 percentage points from 31.19% in 2012.

CONCLUSIONS

The implementation of the urban medical group in Dapeng New District has led to substantial improvements in healthcare accessibility, safety and quality, and affordability. Future initiatives will focus on advancing the "Dapeng Mode" to generate exemplary healthcare outcomes and minimize disparities in basic health services and health status between urban and rural populations. The reform agenda includes piloting payment reforms and innovative payment models within the Dapeng group, complemented by a health assessment and performance incentive system aimed at encouraging healthcare institutions to prioritize health management.

摘要

背景

大鹏新区的一个城市医疗集团于2017年成立，目的是通过整合高水平医院与基层医疗卫生服务，改善常见疾病的治疗效果并加强基层医疗服务。本研究旨在使用三角价值链框架评估该城市医疗集团的绩效。

方法

使用唐纳贝迪安模型进行评估，重点关注三个关键维度：安全与质量、可及性和可负担性。通过政府年度报告、医疗保险局和医院信息系统收集了2016年至2022年的纵向数据。比较项目实施前和实施后的结果测量指标，以评估差异和趋势，从而清晰了解该项目的有效性。

结果

可及性显著改善，每千名居民的医院床位数从2017年的2.62张增加到2022年的3.76张。全科医生的配备也显著增加，从2017年每万居民0名增加到2022年的6.27名。在安全与质量方面，新区内开展的复杂医疗程序比例大幅扩大，从2017年的7.35%增至2021年的38.11%。此外，慢性病标准化管理率有所提高。可负担性评估显示，2012年至2021年期间，医疗保险基金产生的医疗收入比例增加了近22.81个百分点。到2021年，75.02%的就医患者享有医疗保险，比2012年的31.19%增加了约44个百分点。

结论

大鹏新区城市医疗集团的实施使医疗可及性、安全与质量以及可负担性得到了大幅改善。未来举措将聚焦于推进“大鹏模式”，以产生示范性的医疗成果，并最大限度缩小城乡人口在基本医疗服务和健康状况方面的差距。改革议程包括在大鹏集团内试点支付改革和创新支付模式，并辅以健康评估和绩效激励系统，以鼓励医疗机构将健康管理作为重点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a35b/12185367/c798fff3ba09/HCS2-4-206-g009.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a35b/12185367/d097dccbac8d/HCS2-4-206-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a35b/12185367/4ee3c86a76d2/HCS2-4-206-g006.jpg
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本文引用的文献

1
Health performance assessment modeling and its application to compact medical communities in China.健康绩效评估建模及其在中国紧凑型医疗社区中的应用。
Health Care Sci. 2024 Jul 23;3(4):232-237. doi: 10.1002/hcs2.105. eCollection 2024 Aug.
2
Quality of primary health care in China: challenges and recommendations.中国基层医疗保健的质量：挑战与建议。
Lancet. 2020 Jun 6;395(10239):1802-1812. doi: 10.1016/S0140-6736(20)30122-7.
3
Healthy China 2030: A Vision for Health Care.《“健康中国2030”规划纲要：医疗卫生与健康领域远景》
Value Health Reg Issues. 2017 May;12:112-114. doi: 10.1016/j.vhri.2017.04.001. Epub 2017 May 23.
4
Understanding congestion in China's medical market: an incentive structure perspective.从激励结构视角理解中国医疗市场的拥堵问题
Health Policy Plan. 2016 Apr;31(3):390-403. doi: 10.1093/heapol/czv062. Epub 2015 Jul 16.
5
Donabedian's structure-process-outcome quality of care model: Validation in an integrated trauma system.唐纳贝迪安的医疗服务质量结构-过程-结果模型：在综合创伤系统中的验证
J Trauma Acute Care Surg. 2015 Jun;78(6):1168-75. doi: 10.1097/TA.0000000000000663.
6
Emergence of chronic non-communicable diseases in China.中国慢性非传染性疾病的出现。
Lancet. 2008 Nov 8;372(9650):1697-705. doi: 10.1016/S0140-6736(08)61366-5. Epub 2008 Oct 17.
7
The triple aim: care, health, and cost.三重目标：医疗、健康和成本。
Health Aff (Millwood). 2008 May-Jun;27(3):759-69. doi: 10.1377/hlthaff.27.3.759.
8
Health services research methods: tools for nurse leaders.卫生服务研究方法：护理领导者的工具
Nurs Adm Q. 2007 Oct-Dec;31(4):304-11. doi: 10.1097/01.NAQ.0000290428.49313.b2.
9
Evaluating the quality of medical care. 1966.评估医疗质量。1966年。
Milbank Q. 2005;83(4):691-729. doi: 10.1111/j.1468-0009.2005.00397.x.
10
A framework for assessing the performance of integrated health delivery systems.评估综合医疗服务体系绩效的框架。
Healthc Manage Forum. 1997 Spring;10(1):11-26. doi: 10.1016/S0840-4704(10)61148-9.