Study On The Current Situation Of The Counterpart Supporting Primary Medical Institutions In Regional Medical Centers Under The Background Of Medical Association

With the deepening of the reform of China’s medical and health system,China’s medical and health undertakings have made overall breakthrough,but the contradiction between the unbalanced and inadequate development of medical and health undertakings and people’s health needs is still prominent.Among them,the biggest imbalance is the imbalance between urban and rural development,the biggest inadequacy is inadequate rural development.In view of the imbalance and inadequacy of rural medical care development,strengthening the construction of community-level medical and health service system and improving the capacity of community-level medical and health service have become the focus of the new medical reform.At present,the level of community-level medical and health services is still relatively weak,the equipment and facilities of community-level medical institutions are not sound,the management level is relatively backward,and the capacity and level of health personnel still need to be improved.It is an important measure to improve the service ability of rural hospitals and an effective way to promote the balanced allocation of urban and rural medical resources and optimize the distribution of medical resources.As the leader of the regional medical and health system,regional medical centers have gathered high-quality medical resources in the region,vigorously promoted the implementation of the policy of counterpart assistance,and actively guided the technology and talent resources of regional medical centers to go down to the grassroots level,which is conducive to improving the capacity of grassroots medical and health services,and promoting the comprehensive and coordinated development of regional medical undertakings.In medical couplet body within the framework of this study,a regional medical center in guangzhou on 12 grass-roots medical institutions counterpart support work as the research object,through to the regional medical center counterpart support grassroots medical institutions,work goal,specific measures for the working train of thought of literature research,on the regional medical center counterpart support grassroots medical institutions work on-site investigation,comb:ined with a semi-structured interview research,analyze and induce regional medical center counterpart support work of counterpart and regional medical center support to the defects of grassroots medical institutions:(1)In terms of assisting the coordination of subjects:①Helping both sides to lack awareness,the overall willingness to cooperate is not high;②Single communication channel and low communication efficiency.(2)In terms of resource coherence:①Serious administrative color;②Subject to objective conditions;③Help accuracy is not high.(3)In terms of motivation and evaluation:①The incentive compensation mechanism is imperfect and the incentive effect is poor;②The content of the assessment is single and the indicator system is not perfect.This paper puts forward the following targeted countermeasures and suggestions for the shortcomings of the regional medical center to help the primary medical institutions:(1)Assisting the construction of the maim body linkage communication mechanism:①Strengthen publicity and training,and strengthen the awareness of linkage communication;②Smooth communication channels and improve the mechanism of interest expression.(2)Resource Coordination Mechanism Construction:①Clarify the main responsibilities of all parties and coordinate the management of counterparts;②Accelerate the construction of close medical associations and help counterparts;③Build an information service platform and explore remote counterpart support mode.(3)Incentive and assessment mechanism construction:①Improve the government compensation mechanism and strengthen the role of financial foundation protection;②Improve the indicator system and strengthen the application of assessment results.It is expected to promote the long-term promotion of counterpart medical assistance in regional medical centers,and provide reference for the optimization and integration of medical resources in the grassroots and regional medical resources under the background of graded diagnosis and treatment.