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| The exploration for development of medical alliance in psychiatric hospitals in Shanghai |
| XIE Fei XIE Bin▲ |
| Department of Administration Office, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China |
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Abstract According to medical reform policy requirements, medical alliances in China were established one after another in health institutions and achieved the initial success. But there are still many problems to be solved, a number of "test water breaking" medical couplet presents a state of "incompatibility", which led to the alliances could not play the functions completely, even affected the formation of the domestic hierarchical medical system. There are many problems between insufficient government investment, self-governance among specialist hospitals, poor coordination and unreasonable distribution of mental health resources in Shanghai city mental health management and service, to carry out establish psychiatric medical alliances is one of the effective ways to solve these problems, and it has realistic significance. It is suggested that in the establish psychiatric medical alliances, government should play a leading and coordinating role in the construction of the psychiatric medical alliances, it is responsible for the top-level design and coordination of the organization, clarifying the four basic principles of fairness, accessibility, hierarchical medical care and the leading role of public hospitals. Give different supporting measures and policy support according to different needs, and increase the investment on the construction of medical alliance. So that the psychiatric medical alliances can return to the initial purpose of the establishment of the hierarchical medical system and reach the goal of the new medical reform, which aims to effectively alleviate "difficulties and expensive medical treatment".
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[1] 国务院印发《全国医疗卫生服务体系规划纲要（2015—2020年）》[Z].国办发〔2015〕14号.
[2] 姚品，谢娟，刘学勇，等.医联体模式对提升优质医疗资源可及性的研究[J].现代医院管理，2015，13（5）：18-22.
[3] 夏景林，陈瀚钰，沈洁.上海市公立医院集团化改革方案设计及相关政策建议[J].中华医院管理杂志，2009，25（10）：656-658.
[4] 国务院印发《关于城镇医疗卫生体制改革的指导意见》[Z].国办发〔2000〕16号.
[5] 国务院印发《关于推进医疗联合体建设和发展的指导意见》[Z].国办发〔2017〕32号.
[6] 张颂奇.横向联合向机制动刀[J].中国医院院长，2014（8）：32-33.
[7] 张明园.我和《精神病防治康复》[J].上海人大月刊，2003（6）：39-39.
[8] 王乃信，裘维焰，张耀锋.双向转诊存在的问题及对策[J].中国医院，2014，18（5）：66-68.
[9] 张明新，江捍平，罗乐宣，等.深圳市院办院管模式下双向转诊问题分析与对策建议[J].中国医院管理，2009，29（5）：40-41.
[10] 钟艳宇，陈娟.我国医联体中双向转诊制度的实施现状及对策[J].中国医药导报，2017，14（16）：154-158.
[11] 上海市卫生局.上海市卫生局规范化文件汇编（下）[C]//上海市卫生局.1997.
[12] 陈圣祺，谢飞，张广岐.上海市精神卫生服务专业机构医生队伍现状分析[J].四川精神卫生，2015，（1）：75-77.
[13] Saxena S，Sharan P，Garrido M，et al. World Health Organization’s Mental Health Atlas 2005：implications for policy development [J]. World Psychiatry，2006，5（3）：179-184.
[14] 陈洋，詹国芳，丁蕾，等.上海市精神卫生服务筹资状况调查[J].上海交通大学学报：医学版，2010，30（8）：929-931.
[15] 陈瀚钰，夏景林，赵列宾，等.上海市医院集团医疗资源整合模式现状调查[J].中华医院管理杂志，2009，25（10）：652-655.
[16] 范关荣，顾伟民.拓改革新路，创集团品牌[J].中国医院，2006，10（10）：57-58.
[17] 胜伟，周岚，赵列宾，等.瑞金医院集团实施多元化办医策略的初步研究[J].中国医院管理，2003，23（11）：10-12.
[18] 陈瀚钰，夏景林，薛迪，等.上海市公立医院集团化改革的SWOT分析[J].中华医院管理杂志，2009，25（10）：649-652.
[19] 李建华.医疗行业分析与特色医院集团化发展战略[J].中国医院管理，2005，25（2）：25-27.
[20] 谢飞，邬佳艳，占归来.上海市精神专科医院收支两条线管理效果研究[J].中国医院管理，2016，36（5）：43-45. |
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