县域医疗共同体建设中做好基层医疗卫生工作的探索与实践

县域医疗共同体(医共体)建设,是提升基层医疗卫生服务能力和深化医改的一个重要突破口,目前我国尚无统一运行模式.浙江省于2017年9月开展县域医共体建设试点,确定了医共体内机构设置、人员招聘使用、医疗卫生资源调配"三统一",财政财务管理、医保支付、信息共享"三统筹",分级诊疗、家庭医生签约服务、基本公共卫生服务"三强化"...

Exploration and Practice of Primary Health Care during the Construction of County-level Medical Alliance

The construction of county-level medical alliance(CMA)is an important breakthrough to improve the ability of health care at grassroots level and deepen the medical reform.However,there is currently no unified operation mode of CMA in China.Zhejiang Province carried out the pilot construction of CMA in September 2017,and determined the pilot reform path of"three unifications"of unified institutional setting,staff recruitment and allocation,and medical and health resource allocation,"three integrated plans"for fiscal and financial management,medical insurance payment,and information sharing,and"three emphasis"on hierarchical diagnosis and treatment,contracted family doctor services,and public health.Zhejiang Province comprehensively promoted the above reform plan in the whole province in September 2018,and has made some positive progress.This paper summarizes and analyzes the main methods of health-related work in Zhejiang Province under the background of comprehensively promoting the construction of medical alliance.It mainly includes the work responsibilities and tasks of relevant departments,contracted services of family doctors,basic public health services,and the reform of compensation mechanism of primary health care institutions.In addition,this paper reports in detail the achievements that Zhejiang Province has made in terms of the grassroots service ability,CMA pattern,and the enthusiasm of primary health care staff since the construction of medical alliance.It is hoped that the practice of"Zhejiang Mode"in this paper can provide reference for the construction of medical alliance in other regions.