强基层背景下县域医共体建设重点难点问题探讨

Thoughts on key issues and difficulties in building county medical community in the context of“Intensified Community”

县域医共体是深化医药卫生体制改革,推进基层医疗服务体制体系创新,实现县域医疗机构一体化管理和医防融合的表现形式,对优化医疗资源配置,提升区域整体医疗服务能力具有重要作用。破解县域医共体建设的难题,需要坚持政府主导,加强三医联动,在体制机制和发展模式方面不断探索。医改实践表明,只有补齐基层短板,夯实基层基础,才能推动县域医疗服务能力整体提升。

County medical community is a manifestation pattern of intensifying the reform of the med-ical and health sectors,advancing the structural innovation of primary care services,and implementing the inte-grated management and integrated prevention and medical care in county-level institutions,which plays an impor-tant role in optimizing the allocation of health resources and improving the overall medical service capacity region-ally.To handle the difficulties in building county medical communities,it is necessary to adhere to government leadership,strengthen the joint reformation for public health services,medical insurance,and drug distribution system,and explore continually institutional mechanisms and development models.The practice of health reform demonstrates that county-level medical service capacity could only be promoted by making up for the weaknesses of primary health institutions and consolidating their foundation.