Can the medical association be given the responsibility of the new era?

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The medical association is no stranger to everyone. It is a medical complex composed of a tertiary hospital and a secondary hospital, a community hospital, and a village hospital in a region to achieve the sinking of high-quality medical resources and solve the problem of medical treatment. Body is not a new thing. In the 1980s, there were many forms of medical collaboration. After the new medical reform, the "Medical Union" once again entered everyone's sight, and once again became one of the new modes of medical reform, and was given the important task of the new era.

Premier Li Keqiang once again put forward at the National People's Congress this year, "Improve the grading diagnosis and treatment system, strengthen the training of general practitioners, and promote doctors to practice more, so that the masses can enjoy quality medical services nearby."

At present, the number of outpatients in the top three hospitals in the medical association has been decreasing. On the first day of the official start of the Beijing Medical Reform, the outpatient emergency volume decreased by 17.7% year-on-year, and the outpatient emergency medicines decreased by 7.7%. These are the comprehensive results of the separation of medicines, the implementation of medical associations, and the implementation of graded diagnosis and treatment. The formulation and departure of the policy is to let the technology "run" the primary hospital, without the patient "chasing" the top three hospitals.

医联体能否被赋予新时期的重任

At the beginning of this year, the Beijing Municipal Health and Family Planning Commission said that Beijing has strengthened the construction of a graded diagnosis and treatment system. 53 regional medical associations have been established, with four types of chronic diseases such as hypertension and the elderly as breakthroughs, and the referral service and family doctor contracting services have been strengthened. . Established 3,753 family doctor service teams, signed 3.854 million households, and 7.755 million people. In Beijing, some well-known private hospitals, such as the US-owned Hejia Hospital, have also been included in the medical association with the public top three hospitals as the core.

Although the medical association model has achieved some results, the voice of opposition is also very strong. We also saw the bottleneck of the medical association.

The top three hospitals are attacking the city?

The top three hospitals continued to expand through the medical association. The number of patients was increased and the number of patients was reduced. The patients continued to concentrate on the tertiary hospitals, or they did not cooperate and did not turn each other.

A close-knit medical association with interests directly integrates primary health care into the hospital group formed by the top three hospitals and becomes a branch of the tertiary hospital. After primary health care becomes a branch of the top three hospitals, will it reduce the operational efficiency of primary health care, increase its operating costs and medical expenses? If this happens, it should be inconsistent with the original intention of the medical association.

In fact, today's "medical union" is a market expansion. The presidents of many large hospitals believe that: "We will be occupied by others if we do not occupy it." It is not difficult to see that "the siege of the city" is the guiding principle and development principle of public hospitals.

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