Research On The Construction Of District (county) Public Hospital Medical Complex

In recent years,with the development of China’s economy and the acceleration of urbanization,people’s income level has increased significantly,and the demand for education,culture,medical and health care has also increased.Meanwhile,with the increasingly serious global environmental pollution,the aging process of China’s population,the changes of the diseases spectrum and other reasons,people’s demand for medical and health services has become increasingly prominent.However,the uneven development of medical services among regions and within regions in China has led to the "overcrowding" of large hospitals with a large number of high-quality health resources and the "lack of access" of primary medical institutions in a relatively disadvantaged position.The current situation of "difficult and expensive access to medical services" has become a pain in people’s livelihood and caused the wide attention of all circles.To solve this problem,in 2009 the State Council issued the "Opinions on deepening the reform of the medical and health care system",which mentioned that "optimizing the allocation of health resources ","to establish a hospital and grassroots collaboration mechanism,guide the general practice to sink at the grass-roots units,gradually achieve community first diagnosis,hierarchical diagnosis and two-way referral",since the launch of the new health reform,China has issued a number of policy documents,and the medical consortium has gradually entered the public view.At the 2013 national conference on health work,"encouraging active exploration and vigorously promoting the construction of medical consortium with upper and lower linkage" has been proposed for the first time,which marked that the construction of medical consortium in China entered the official launching stage.Since then,various provinces and cities actively carry out the "medical consortium" attempt,after that various types of medical consortium have sprung up in China.Based on the above background,this study aims to analyzes the dynamic development and operation status of district(county)level public hospital medical consortium and expounds the problems existing in the consturction of medical consortium,taking People’s Hospital of Nanjing Gaochun for example.This study will use the methods of literature research,case study,comparative analysis,SWOT analysis method,questionnaire method.This study will be on the basis of combing and summarizing domestic and foreign scholar’s research on medical consortium(medical resources integration).District(county)level public hospitals account for a huge proportion of the total health resources in China,and so far,its medical consortium construction has not yet had a relatively mature and complete system.This study wiil construct the model of medical consortium for the district(county)level public hospitals based on administrative division,nameliy four-level vertical compact medical association,through analyzing the problems existing in the construction of medical consortium in People’s Hospital of Nanjing Gaochun,analyzing the reasons from the aspects of policy formulaiton,internal mechanism of medicalconsortium and social acceptance and drawing on the advanced experience of domestic and foreign medical consortium(medical resource integration).This study explores the realization path of district(county)level public hospital construction at current stage through the SWOT analysis of the model.First of all,the financial subsidy for the construction of medical consortium should be strengthened relying on the policy orientation,and medical and health services should be transformed into health care services.Secondly,the internal assessment and supervision mechanism of joint medical care and the etiquette link should be established and improved,the unified standard of two-way referral should be improved,and medical care management standards and other supporting system should be constructed.In addition,talent flow channels should be opened,talent reserve should be improved,integrated information platform should be built,technical talents should be promoted to double sink,and medical resources integration barriers should be broken.Finally,we need to leverage medical insurance to guide the implementation of graded diagnosis and treatment,and deepen medical reform through drug catalogs and integrated inspections.This study will provide theoretical reference and countermeasures to promote the construction and development of district(county)level public hospital medical consortium.