The Construction And Development Strategy Of Medical Unions In Urban Areas

[Purpose]This study takes Shenzhen as an example to sort out the current situation of the construction and operation of the medical unions in urban areas in our country,and analyzes the main problems existing in the construction of medical unions in urban areas,and expounds the current work situation of the construction of Shenzhen combined with the actual situation in Shenzhen,finding out the existing problems and obstacles in the process of medical unions’ construction,so as to obtain the Shenzhen medical unions’ construction and development strategies,and further for China’s urban medical unions’ construction and development to provide theoretical basis and policy recommendations.[Methods]Through the access to Chinese and foreign literature,to understand the current situation and development of medical unions at home and abroad,including the definition of medical unions,the main model of domestic medical unions,the practice of foreign medical resources integration,etc.,so as to give a research foundation and explain the meaning and methods of the research.Through the questionnaire survey,the medical staff of the selected medical institutions and randomly selected residents or patients were surveyed to analyze the medical staff and patients for the medical unions of cognitive and related behaviors.Through the key person interview method,select the hospital management department,health service provider key responsible person for semi-structured interviews,looking into the advantages and disadvantages of medical union construction of Shenzhen.[Results]From the total point of view,the overall increase in medical and health resources in Shenzhen,but there are still some gaps with the Beijing,Shanghai,Guangzhou and other cities.From the number of medical institutions,Futian,Luohu,Longgang,Baoan and other areas are more distributed,and GuangMing,Longhua,Dapeng,Pingshan and other new areas less distributed,especially the lack of three comprehensive hospital.Unreasonable use of medical resources,resulting in increased medical expenses.In the study of the sample medical institutions,the similarities and differences between the mode of cooperation of the Second People’s Hospital in Shenzhen,the model of the medical complex in Futian District,the model group of Luohu Hospital and the "expert into the community" model of the municipal hospital were summarized and compared.In addition,the study conducted a questionnaire survey of medical staff and patients,and analyzed their cognition and related behavior of the medical consortium.According to the survey,only 18.6% of the doctors chose to "hear and understand" medical union,81.4% of the doctors on the medical union is not very understanding,of which 23.1% of the doctors said never heard of medical union.Medical staff of the medical union of the degree of understanding is not deep enough,most only stay in the "heard" the initial stage.For the patient survey found that only 6.7% of patients choose to "hear and understand" medical union,23.6% of patients choose to "hear but do not understand",69.7% of patients choose "never heard",patients for medical union in a very unknown state.In the choice of the first hospital,the proportion of patients selected community treatment is not high.In selecting the first visit,the patient is considered the most medical level of the doctor.[Conclusions]The study found that the formation of medical unions in China is mainly loose type,but through the investigation of different types of medical union found that close medical union in the integration of resources on a more thorough,medical staff of the medical union cognitive are more profound.Government and health administrative departments in the regional health planning issues should focus on the rational allocation of medical and health resources,according to the characteristics of different regions to form a suitable medical union step by step,and establish a sound medical management system and operational mechanism.Medical service providers should strengthen the identity of the medical union,in order to improve the ability of primary health care services as a breakthrough,to promote the rational flow of patients.Medical service providers should improve their health literacy,change the concept and habits of treatment,and promote the implementation of grassroots first diagnosis.At the same time,we should improve the supporting policies and measures to promote the reform of medical insurance payments,speed up the construction of information technology to promote the smooth operation of medical unions.