| Since the new round of reform of medical and health system in 2009,the construction of medical association has been widely concerned by the whole society as an important part of it.In the process of promoting the construction of medical associations,various regions have carried out different levels of exploration and attempts,put forward some innovative practices,and achieved certain achievements and experiences,but there are still many problems.This paper is divided into six parts with the construction of Suining Medical Association as the research object.The first part is the introduction,mainly introduces the background and significance of medical association research,summarizes the current situation of medical association research at home and abroad,and puts forward the research methods adopted in this paper.The second part is the concept and theoretical foundation of the Medical Association,which elaborates on the connotation of the urban Medical Association,county medical association(medical community),specialized alliance,long-distance collaboration network,hierarchical diagnosis and treatment,primary diagnosis and two-way referral.The theory of Pareto efficiency,fairness and justice,and synergy effect are also used to carry out a profound analysis.The third part discusses the present situation of the medical association construction in Suining County,and analyzes the data collected from the field investigation,and objectively and impartially evaluates the current results of the medical association construction.The fourth part summarizes the existing problems in the construction of medical association in Suining County: the effect of hierarchical diagnosis and treatment is not outstanding,the rate of transfer under two-way referral is too low,the information interactive platform can not achieve full coverage,the continuity of assistance and training is not strong,and the policy propaganda is not in place.Wait.In addition,there are four main aspects in the in-depth analysis of the reasons for the problems in the construction of the medical association in suining county: one is the lack of the security mechanism,the other is the restriction of the management system,the other is the restriction of the medical system,and the fourth is the lack of the reward mechanism.The fifth part is the practice and experience of medical association construction at home and abroad.Through drawing on the advanced experience of the United Kingdom,the United States,Singapore and the domestic Tianchang City,Luohu District,Youxi County,and summarizing its advanced experience,it can obtain the inspiration of medical association construction.The sixth part is the conclusion,combined with the actual situation of jianning county medical association construction,put forward the relevant countermeasures and suggestions: one is to speed up the construction of the safeguard mechanism,the other is to implement the fine management mechanism,the third is to establish a reasonable and effective medical treatment mechanism,and the fourth is to improve and improve the incentive mechanism. |