县域医共体提升乡镇卫生院医疗服务能力的作用背景、问题及建议*

目的：探索县域医共体对乡镇卫生院医疗服务能力提升的作用背景，在此基础上归纳分析乡镇卫生院医疗服务能力提升的现实问题，为乡镇卫生院医疗服务能力提升锚定问题现状。方法：从动态能力理论视角，结合课题调研和文献综述，回顾分析我国乡镇卫生院发展所处的社会背景及长期发展过程中的问题归纳总结。结果：乡镇卫生院的医疗服务能力提升处于社会综合系统环境下，呈现动态的、多变的能力发展趋势，符合动态能力理论及其逻辑。结论：要实现乡镇卫生院的医疗服务能力提升，应该从战略上做好顶层设计，结合不同乡镇卫生院所处社会系统背景，因地制宜做好乡镇卫生院医疗服务能力提升的动态监测，适时做好政策调适，促进乡镇卫生院医疗服务能力动态、稳步提升。

Background, Problems and Suggestions of County Medical Community to Improve the Medical Service Capacity of Township Health Centers Based on the Perspective of Dynamic Capability Theory

Objective: Based on exploring the role background of county medical community in the improvement of medical service capacity of township health centers, it summarized and analyzed the practical problems of the improvement of medical service capacity of township health centers, so as to anchor the current situation of the improvement of medical service capacity of township health centers. Methods: From the perspective of dynamic ability theory, combined with subject research and literature review, the social background and problems in the long-term development of township health centers in China were reviewed and summarized. Results: The improvement of medical service ability of township health centers was in the environment of social comprehensive system, showing a dynamic and changeable ability development trend, which was in line with the theoretical logic of dynamic ability theory. Conclusion: In order to improve the medical service capacity of township health centers, it needed to strategically do a good job in the top-level design, combined with the social system background of different township health centers, adjust measures to local conditions, do a good job in the dynamic monitoring of the improvement of medical service capacity of township health centers, make timely policy adjustment, and promote the dynamic and steady improvement of medical service capacity of township health centers.