Providing high-quality,efficient and convenient medical and health services for the people is an important part of the government’s public service functions.Therefore,the reform of the medical and health field has increasingly become the focus of public management research.The construction of county-level medical community is an important measure of the grass-roots medical reform in my country in recent years.Through the implementation of the integrated reform of county,township and village medical and health institutions,the integration of medical and health resources in the county area,the balanced arrangement of high-quality medical resources,and the improvement of grass-roots medical and health services.Level to meet the growing health needs of the people.Under the background of the continuous advancement of the reform of county-level medical community in various parts of the country,the scope and quantity of primary medical and health services in the county have been improved to a certain extent,but the improvement of its quality needs to be further analyzed and studied.This paper takes the quality of primary medical and health services in K County,Z Province as the research object.First,through in-depth field research to understand the specific improvement of primary medical and health services in K County under the background of the county medical community,and from the perspective of overall governance The internal logic of improving the quality of primary medical and health services under the background of county medical community is analyzed from three dimensions of collaboration,integration and information technology.Secondly,the paper points out that the difficulties faced by the further improvement of the quality of primary medical and health services under the background of the county medical community mainly include the following aspects: first,the county-level hospitals "siphon" the patient resources of the primary medical institutions;second,the primary medical personnel team Weak;third,the construction of medical informatization is lagging behind;fourth,a reasonable order for medical treatment has not yet been formed.The main reasons for the predicament are: first,the service capacity of primary medical and health institutions is insufficient;second,the problem of shortage of grassroots medical personnel cannot be completely solved through the sinking of excellent medical staff;third,the regional medical information platform needs to be further built;Fourth,the concept of public medical treatment still needs further guidance.Thirdly,this paper puts forward corresponding countermeasures and suggestions for the causes of the predicament: first,strengthen top-level design;second,strengthen the construction of grass-roots talent teams;third,accelerate the construction of regional medical information;fourth,actively guide the public to change the concept of medical treatment,etc.Deepen the construction of county medical community.Finally,the conclusion part summarizes the full text,expounds the shortcomings of the study and looks forward to the reform of the county medical community in the future.This paper uses the holistic governance theory to study the improvement of the quality of primary medical and health services under the background of county-level medical communities,in order to supplement the research in related fields,and to provide insights into the construction of county-level medical communities and the quality of primary medical and health services in other parts of the country.Improve to provide a certain reference experience. |