【摘要】 医疗卫生设施是城市公共设施的重要组成部分,已有研究项目对医疗服务的公共政策效应关注极少,致使医疗设施规划落地性差,实施性不足,我国小城镇医疗卫生资源总量不足、质量不高、结构与布局不合理等问题尤其突出。医共体是指一个区域内的医院与其他医疗服务机构和组织联系在一起,重新构建的一个整体性的医疗组织架构,进而推进医疗卫生资源共享,将优质医疗资源下放到基层。本文从提出"医共体"的政策背景出发,以浙江省兰溪市为例,对"医共体"政策对医疗设施供给影响进行分析,与医疗设施规划相结合进行考虑,进而提出更具应用性和操作性的实施路径,对改善我国城乡医疗设施发展不均衡、资源配置不合理的问题具有重要意义。更多还原

【Abstract】 Medical and health facilities are important parts of urban public facilities. Current research pays little attention to the public policy effect of medical service, leading to medical facility planning usually being poorly implemented. The problems of insufficient medical and health resources, low quality, unreasonable structure and layout are particularly prominent in small towns in China. "Medical community" refers to hospital and other medical service institutions and organizations in the same region linked together to reform a holistic medical organization structure, in order to promote the sharing of medical and health resources, and distribute high-quality medical resources an infrastructural level. Taking Lanxi in Zhejiang Province as an example, this research analyses the impact of "medical community" policy on medical facilities supply under the policy background of medical community. Combined with medical facilities planning, this study puts forward a more operable and feasible path of implementation, which is of critical significance for improving the imbalanced development of medical facilities and ill-distributed medical resource in both urban and rural areas.更多还原