| ObjectiveBased on the dynamic monitoring results of 7 pilot counties of compact county medical community in Anhui Province,the effectiveness and existing problems of compact county medical community construction in Anhui province were analyzed,the condensed and effective experience was summarized,and the policy optimization strategies of compact county medical community construction were proposed.It provides scientific empirical reference and policy optimization basis for promoting the hierarchical diagnosis and treatment system and constructing the people-oriented integrated medical and health service system.MethodsSeven sample counties were randomly selected in north anhui,south Anhui and central Anhui,namely L county,F county and T county in north Anhui,S county and D county in south Anhui,J county and H county in central Anhui as sample counties.The data of 6 monitoring indicators in 7 sample counties were collected on the information platform of Anhui Provincial Health Commission.Excel was used to establish the database,and SPSS25.0 software was used for statistical description and analysis of 6 monitoring indicators.Results(1)In 2020,the percentage of inpatients in seven sample counties was 79.3%,up2.4 percentage points compared with 2019.The percentage of inpatients in T county,H County and J county was more than 80%,and the highest was 88.3%(T county).Compared with 2019,the proportion of inpatients in the seven sample counties increased to varying degrees,among which J county and H County had the highest increase,up 9.1 and 5.1 percentage points,respectively.(2)In 2020,the proportion of township hospitals in the seven sample counties with "50+N" disease diagnosis and treatment capacity was 94.3%,an increase of 24.4percentage points compared with 2019.Among them,F county,S county,D county,J county and H county accounted for 100.0%,L county and T county were 81.8% and87.0%,respectively.In 2020,89.7 percent of township health centers in the seven sample counties had carried out surgical operations,up 15.3 percentage points compared with 2019.Among them,F county,J county and H county accounted for100.0%,and D county was the lowest,only 60.0%.(3)In 2020,the proportion of grade ⅲ and above surgical units in the leading hospitals in the 7 sample counties was 65.9%,up by 4.7 percentage points compared with 2019.The proportion of L county was the highest(76.2%),and S county was the lowest(46.8%).Compared with 2019,except for L county,the proportion of the other six sample counties has increased to varying degrees,with an increase of 0.3-9.1percentage points.(4)In 2019,the health centers of towns and townships in 7 sample counties implemented the policy of "enterprise first-level guarantee and second-level performance management".In 2020,84.7% of township health centers in 7 sample counties realized electronic medical record interconnection and sharing in hospital communities,among which,100.0% in 6 sample counties and only 15.6% in T county.Conclusions and Suggestions: Change from six monitoring index,county county overall service ability improved,led by the hospital and primary care institutions service ability improved,grassroots medical institutions "type of security,2 kinds of performance management" policy implementation in place,the medical basic implementation of electronic medical records in vivo interconnected sharing,"county and township live,stability at the grass-roots level,information" positive progress was made in reform goals.In view of the construction of compact county medical community,the following policy optimization suggestions are put forward:(1)Improve the service capacity of leading hospitals with strong expertise;(2)To improve the capacity of primary medical services with strong service as the starting point;(3)Starting from informationization,we should promote the connection between leading hospitals and primary medical institutions. |
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