| At present,China is in a critical period of deepening the reform of the medical and health system.The relative shortage of pediatric resources restricts the satisfaction of the demand for pediatric medical services.In view of this outstanding contradiction,more efforts should be made to develop the construction of pediatric medical association.For the demander,that is,the common people,the establishment of a pediatric medical association will accelerate the sinking of high-quality pediatric medical resources,so that residents can enjoy high-quality pediatric medical resources at home;for the supplier,that is,the entire medical service system,the establishment of a medical association will help to promote the construction of a hierarchical diagnosis and treatment system.The establishment of a high quality and efficient health service system will help to realize the transformation of development mode from disease-centered to health-centered,provide all-round and full-cycle health services,and solve the plight of paediatric patients in seeking medical treatment.Since the establishment and development of a pediatric medical consortium in Shanghai,the clinical service structure of children’s special hospitals has become more and more reasonable.As a third-level hospital,the positioning of solving difficult and critical problems has become increasingly prominent,and the graded diagnosis and treatment service system has begun to show results.Some community health service centers in all districts and counties have opened pediatric outpatient clinics.The difficulty of seeing a doctor in the high incidence period of pediatric diseases has been alleviated,so that children can get timely diagnosis and treatment of common diseases and frequently-occurring diseases at home.At the same time,the process of pediatric referral has been simplified and the function orientation has been clearer.This article uses literature research,case analysis,questionnaire survey and interview to investigate the residents’ understanding,satisfaction and conditions of choosing the first clinic in different areas of the pediatric medical association.It also understands the present situation of the operation of the pediatric medical association from various angles and indicators.The problems are mainly reflected in the low awareness of the residents of the pediatric medical association,the weak coordination of policies and the need to improve the institutional environment,the lack of uniform standards for the exchange of health information,the urgent need to improve the level of pediatric diagnosis and treatment services in grass-roots medical institutions,and the need to expand the content of pediatric medical services in grass-roots medical institutions.Exhibition.Provide targeted countermeasures for the above issues:(1)to strengthen publicity at all levels to create standardized outpatient and emergency brand;(2)to rationally play the government’s regulatory functions,change the management mode of medical and health institutions,strengthen the external and internal governance of medical consortium,and adjust the mode of financial investment,and improve medical care.Compensation mechanism of health institutions;(3)Promoting the construction of regional medical and health information sharing network to achieve interconnection and interoperability under unified standards;(4)Strengthen professional training of Pediatrics in primary medical and health institutions within the Medical Association to improve their level of pediatric diagnosis and treatment services;(5)Develop community integrated child health services and expand their clothing.Content of business.Only by creating the characteristics of pediatric medicine and improving the overall service ability,can we better provide high-quality,convenient,continuous and accessible medical services for children. |