纵向整合资源，创建区域医疗联合体，提高服务质量与绩效——中国上海的探索

纵向整合资源，创建区域医疗联合体，是上海市新一轮医改的重要内容之一。本文在回顾上海市医疗服务体系框架和特征的基础上，分析了上海市医疗服务体系的优势与劣势，重点介绍了上海市为缓解当前医疗卫生领域中的突出问题而在卫生资源纵向整合方面所进行的探索，阐述了上海市医疗联合体的核心内涵和现有基础，展望了其预期效果。同时对上海市组建区域医疗联合体所面临的问题和挑战进行了讨论和思考。

Healthcare Alliance through Vertically Integrating Resources: An Endeavor in Shanghai, China

It is one of the priorities of the new round of healthcare reform to develop regional healthcare alliances through vertically integrating resources. This paper reviews the framework and characteristics of Shanghai＇s healthcare system, and then analyzes its strengths and weaknesses, underscoring Shanghai＇s exploration in the vertical integration of medical resources as a response to the pressing issues in healthcare. The paper outlines the main tasks and groundwork of the Shanghai healthcare alliance initiative and gives an outlook on the expected outcomes. It ends with some thoughts on the problems and challenges confronting regional healthcare alliances in Shanghai.