Study On The Integrated Reform Of County And Township Medical And Health Institutions

The Healthy China Strategy is an important strategy proposed by General Secretary Xi Jinping in his report to the 19 th National Congress of the Communist Party of China.Health is a prerequisite for the all-round development of the people and the foundation for the development of our entire economy and society.The Chinese Dream of the great rejuvenation of the Chinese nation cannot be realized without the healthy body of its citizens.On October 29,2020,the Fifth Plenary Session of the 19 th CPC Central Committee put forward higher requirements for medical and health undertakings in the "Fourteenth Five-Year Plan",which shows the importance of health issues.In recent years,China’s medical and health system reform continued to deepen,the masses of the people for health service fairness and accessibility as compulsory education for all,covering urban and rural medical and health service system has basically formed,population expanding health-care coverage,drugs increased year by year in health care,medical science and technology level rapidly increase,the people’s health has improved.Since the COVID-19 epidemic broke out,China’s medical and health system has withstood the test in the global epidemic and played an important role in the COVID-19 epidemic prevention and control.At the same time,we should also be aware that the current level of development of China’s medical and health services is not in harmony with the health needs of the people and the requirements of economic and social development.Urban-rural and regional medical and health cause unbalanced development,resource allocation is unreasonable,public health and rural and community health work is weak,especially at the end of 2020 in hebei chaff,an outbreak of the new champions league city village clinics,clinics and other medical institutions at the grassroots level in the current outbreak,not give full play to their role in "the sentinel",let us clearly see the weakness in our health care reform.At the same time,the medical security system is not sound,the drug channels is unreasonable,the hospital management system and operational mechanism imperfect,the doctor practicing system implementation to be more thorough,the government health input at the base,rapid rise of the medical expenses,in a health care do support personal burden is heavy,still under the condition of the people is very strong.Shanxi,as an underdeveloped province in central China,is affected by geographical conditions,administrative divisions and urban-rural "dual" structural system,and has prominent problems such as unbalanced development of medical and health undertakings,unreasonable allocation of resources and unequal service supply.Strengthening grass-roots has become an unavoidable major problem and relaways project in Shanxi’s medical reform.At the same time,the situation and task of overall planning,equalization and sharing the fruits of reform in urban and rural areas have become more urgent.Based on the actual situation and task of Shanxi Province,Shanxi Province has carried out a multi-level,multi-field,horizontal and vertical,consistent reform exploration.By studying the counties and townships in Shanxi Province integration of medical and health institutions reform(hereinafter referred to as the "integrated reform")of the status quo,summed up the integration of the concrete step in the process of reform and the reform of the achievements and experience,analysis of integration in the process of the reform of the problems and the reasons of the problems,further explore integration reform needs to take measures,next is helpful to deepen the understanding of integration reform in Shanxi Province,effectively solve the plight of the integration of reform,promote the sustained and healthy development of health service in Shanxi Province.The research content of this paper mainly includes four parts.The first part is an overview of the reform of the integration of county and township medical and health institutions in Shanxi Province.By expounding relevant concepts,the source of the integration of county and township medical and health institutions is understood,and the organizational mode of the medical union is clarified.The theory of medical resource integration,division of labor and cooperation,and collaborative management is sorted out to provide theoretical basis for the integration reform of county and township medical and health institutions in Shanxi Province,and to comprehensively and objectively understand the significance of the integration reform of county and township medical and health institutions in Shanxi Province.Comb the second part is the implementation of the integration of counties and townships in Shanxi Province medical and health institutions reform and reform results,respectively from the health status of Shanxi Province is analyzed and concrete measures of the reform of two aspects,and summarizes the effectiveness of the integrated reform in Shanxi Province for other provinces integration reform experience of "model" of Shanxi Province.The third part analyzes the problems existing in the integration reform of county and township medical and health institutions in Shanxi Province and excavates the causes of these problems from the aspects of grass-roots talents,information level,supervision system and reform personnel.The fourth part puts forward some suggestions to promote the integration reform of county and township medical and health institutions in Shanxi Province according to the problems mentioned in the fourth part.Generally speaking,before the implementation of the integration of county and township medical and health institutions,the overall development of medical and health undertakings in Shanxi Province was unbalanced and inadequate.The low rate of medical treatment in the county,the serious loss of medical insurance funds;People’s hospitals were overwhelmed,and community and township hospitals were deserted.Township health facilities,equipment,personnel and technology are not in place,the brain drain is serious,less patients,forming a vicious circle.Through the integration of reform,highlights the public health care,arouse the enthusiasm of the medical staff,and ensure the sustainability of medical insurance fund in the county medical and health resources allocation is more scientific,medical,health care,medical reform of "3 d linkage" smooth,to further improve grassroots health service ability,health care the actual compensation than rise,has realized "three five liters drop",medical and public health,health and family planning,health care and pension "three integration",first option at the grass-roots level,two-way referral,slow partition,orderly grading diagnosis and new mode of running up and down.The medical reform is a deep-seated reform,which cannot be accomplished in one battle.After five years’ exploration of integrated reform in Shanxi Province,although certain achievements have been made,some problems inevitably arise.The reform system is not perfect,the reform progress is not balanced,the reform advance is not thorough,the reform measure is not coordinated,still restricts the progress of the integration reform of county and township medical and health institutions in Shanxi Province.In this regard,this paper proposes to establish a talent recruitment and training system suitable for the development of the industry,build an integrated management platform,strengthen information construction,strengthen the integrated supervision and assessment of county and township medical and health institutions,and use the "three basic construction" to help county and township medical and health institutions integrated reform countermeasures and Suggestions.