| With the continuous promotion of health reform,the functional orientation of county medical service system is increasingly clear.The “Notification on Pushing the Comprehensive Reform of County-level Public Hospitals Comprehensively” clearly puts forward the need to place “strong grassroots” in the prominent position of medical reform work.The key to “strong grass-roots level” lies in strengthening the supply-side reform of county-level medical and health service system.,"Increasing supply,making up for shortcomings and profound reform" is undoubtedly an important direction for the development of county medical and health institutions in the future.County-level public hospitals as the center and leading county,the role is increasingly important.Under the background of grading diagnosis and treatment,the future development of county-level public hospitals will be different from the past.It is not only to improve their own work efficiency and benefits,medical service and technical level,but to focus on the promotion of medical institutions at all levels of the county.The overall level of service in the direction of development.The county medical community is an important measure to deepen comprehensive medical reform,integrate county medical resources,improve grassroots service capabilities,and improve county medical service system.It is to promote the downward movement of medical and health care work,promote the sinking of high-quality resources,and promote the effective implementation of a hierarchical diagnosis and treatment system.Important path.By setting up the county medical community,the quality resources are sunk so that the optimal allocation of medical resources in the county can be realized and the health of the residents in the county can be protected.This paper studies the current status of the construction of the medical community in the county,and based on Jiangsu Province,analyzes the current status,effectiveness,and problems of medical community construction in the county according to different administrative divisions,and further summarizes the difficulties facing the development of the medical community in the county and resolves it.Countermeasures and trends in the future will provide reference for the reform and development of the medical community throughout the country.The comprehensive competitiveness of public hospitals at the county(city)level in Jiangsu Province ranks among the top in the country,and has achieved initial results in overall development.With the continuous implementation of a grading diagnosis and treatment system,the new medical and health service system is being reshaped.How to construct a county medical community suitable for the integrated development of counties and villages is an urgent need to discuss and study.Based on the theory of resource allocation,system theory and synergetic theory,this paper explains the basic concepts of Medical Association,Medical Community and county(city)level hospitals,and analyzes the necessity and importance of medical community construction in county level.The research has comprehensively applied the literature research method,field visit method,interview investigation method and induction summarization method,combining theory with practice.Starting from the status quo of medical community building in county(city)level hospitals in Jiangsu Province,the existing predicament in the construction of existing medical communities is explored through case studies of the status quo of the construction of medical communities in two counties of different administrative divisions.The foundation for the development of the medical community is facing challenges;lack of human resources: the development of the medical community is facing challenges;technical positioning is inaccurate: the development of the medical community is facing challenges;lack of public relations recognition: the development strategy of the medical community is facing difficulties.Finally,it proposes a corresponding solution to the existing difficulties and the development trend of the medical community in the future,that is,the future of the county medical community will be toward resource-linked intensive,activity-oriented,patient-experience-innovative,and accumulating achievements.Common direction of development. |