Reform Development Analyses and Policy Recommendations of County Medical Community --Based on Survey of 200 County Hospitals in 2019

Corresponding author: Liuyuehua, liu_yuehua@163.com

DOI: 10.12201/bmr.202007.00021

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  Abstract: Objective：Analyze the development of county medical community reform and put forward policy recommendations to promote the construction of county medical community. Methods：200 county hospitals were selected as samples. Through questionnaires and cluster analyse, the development of county medical community reform in 2019 was analyzed from aspects of resource integration, management synergy as well as incentives and restraints. Results：51.5% of samples achieved unified medicine procurement , 32.0% enforced unified rules and regulations, 72.0% promulgated the implementation plan of medical community, and 60.5% issued the appraisal mechanism of medical community. The clustering results showed that the slow-advancing medical community accounted for 27.6%, the intermediate medical community accounted for 53.1%, the active medical community accounted for 19.3%, and the county medical community had a better overall promotion effect. Conclusion：In order to promote the construction of close county medical community, it is suggested to start with resources integration, management coordination and establishment of an incentive compatibility mechanism, and concentrate resources to gradually improve the outpatient service capacity of grassroots county medical community.

  Key words: County medical community; Resource integration; Management synergy; Incentives and restraint; Reform; Recommendation

  Submit time: 28 October 2020

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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