Abstract: China’s collaborative model of regional health is not lacking,but more than a mere formality.In order to achieve the breakthrough of resources allocation and optimization,and participants’ collaborative development of regional health,the study based on evidence-based concept conducts a literature meta-analysis of the current situation and problems of domestic regional health,summarizes the main problems of collaborative development of regional health including external policy system and internal management mechanism,and draws the conclusion that the failure of forming win-win mechanism of various interests is the cause of the ineffective collaborative development of regional health.Referring to the existing practical experience,the study explores the breakthrough for achieving collaborative development of regional health in the next step,puts forward that we should promote the development step by step,take three-dimensional collaborative modes of medical treatment-scientific research-talent cultivation as the entry point,make the large hospitals of second and third levels be the leading roles so as to fully arouse the enthusiasm of all the main bodies within the system,and promote the deepening development of regional health collaboration.

Key words: Collaborative development of regional health, Problem solving

摘要： 我国区域卫生协同模式并不欠缺，但多流于形式。为寻找区域内卫生资源配置与优化、各方协同发展的突破口，本研究基于循证理念，对国内区域卫生协同发展现状及问题进行文献荟萃分析，梳理出包括外部政策体制和内部管理机制的区域卫生协同发展的主要问题，得出各方利益共赢机制未形成是区域卫生协同发展不力的症结所在。本研究在借鉴已有实践经验的基础上，剖析下一步区域卫生协同发展的突破口，提出应循序渐进，以“医疗-科研-人才培养”的三维协同模式作为切入，由二三级大医院为主导，充分调动体系内所有主体的积极性，推进区域卫生协同深化发展。

关键词: 区域卫生协同发展, 问题解决