摘要在对"转型学习协作"(TLC)、"以人为本的整合卫生服务" (PCIC)模式等理论框架进行充分分析的基础上,作者介绍了"杭州特色"的以TLC模式为核心的县域医共体建设的主要做法及取得的成效.杭州市以县域医共体建设为试点,借鉴TLC模式,以成长式协作为导向,促进责任分担、利益共享、服务整合和管理协同;以世界卫生组织提出的PCIC模式为指导,创建分级诊疗-预防-康复-养老一体化的整合服务模式,建立起"5个领域、统一领导、统一文化,6项支撑、3项任务,TLC团队"的县域医共体体系,对医联体的协同化、整合化发展提供一定的借鉴.

abstractsBased on a sufficient analysis of the theoretical framework of " transformation learning collaboration" ( TLC ) and " people-centered and integrated health care " ( PCIC ) mode, this article introduced the main practices and achievements of " Hangzhou characteristics" countywide medical alliances, centering on TLC mode.Hangzhou takes the countywide medical alliance construction as a pilot, refers to the TLC model, and takes growth-oriented collaboration as the guidance, to promote responsibility sharing, benefit sharing, service integration and management collaboration.Guided by the PCIC model proposed by the World Health Organization, the city has established an integrated service model of hierarchical medical system-prevention-rehabilitation-aging care.The countywide medical alliance system framework features " 5 fields, unified leadership, unified culture, 6 supports, 3 tasks and TLC teams " , which may provide references for the coordinated and integrated development of such alliances.