The Research Of The Key Factors And Operation Management Model Of The Major Diseases Medical Union

General Secretary Xi Jinping in the National Health and Health Conference clearly puts forward to vigorously promote the hierarchical treatment system. The establishent of the hierarchical diagnosis and treatment system is the focus of China's healthcare reform during the 13th five-year plan period, which is the fundamental strategy to optimize medical resources and reduce medical costs. To construct various forms of medical association between different levels or types of hospitals (referred to as Medical Union), to facilitating the timely sharing information between patients and medical institutions at different levels to promote to realize mutual referral, improving the capacity of grassroots medical institutions, promote the establishment of convenient residents medical system, the important measures to improve the national health care system.At present, there are five modes of medical union construction in China, such as regional collaborative medical, horizontal integration, vertical integration, hospital trusteeship and medical care group, but almost no medical union for major diseases in the medical treatment. This paper puts forward a medical union which is not dependent on geographical location but with a major disease as a link for the first time. The major diseases medical union is established leding by the tertiary hospital, and the integrated area of secondary hospitals, community medical institutions and first aid centers are composed of a major medical association based on the disease.to achieve a ring medical service model. Besides, this paper designs the evaluation index system of major diseases medical union and analyzes the model of the construction of the major diseases medical union deeply. Through the gauge analysis, the key factors of the realization of the major diseases medical union were summarized as two parts,hospital joint construction and hospital self-construction. The key factors for the realization of the major diseases medical union in hospital joint construction include the realization of information sharing in medical conjoined system, the improvement of doctor-patient relationship and the rational distribution mechanism of interests.Hospital self-built mainly include higher-level hospital to promote the lower level of professional ability to improve the hospital measures, the level of primary hospital prevention efficiency, the establishment of government health insurance system.Based on the analysis of the key factors in the construction of the joint hospital,this paper further constructs the medical union benefit sharing service model of the whole process of diagnosis and treatment of major diseases through the game research of hospital relationship and doctor-patient relationship. And explore the use of cloud computing technology to support the realization of the information sharing between the medical union to more effectively realize the medical union service model, crack the information island problem. This paper focuses on the choice of cerebral apoplexy (an acute cerebrovascular disease) as a practical case, puts forward the structure and implementation of the cerebral apoplexy medical union cloud platform. Through the analysis of data interaction and storage and data security model, to ensure that medical union data standardization and security. On the basis of this research, this paper puts forward the operation and management model of the major diseases medical union based on self-organization theory. Finally, through the practical application of the experience of the cerebral apoplexy of the Tiantan Hospital, Fangzhuang community and the first-aid center, the author puts forward the countermeasures and suggestions.