Cai Ying, Wen Cheng, Tang Long, Liu Pufei, Xu Yan, Hu Suxia, Wei Miao, Cao Junhua
Dept. of Nursing, Xuzhou Children's Hospital, Xuzhou 221006, China.
Iran J Public Health. 2018 Aug;47(8):1160-1165.
The distribution of medical resources in China has long been in an unbalanced state. Since 2009, the government has initiated the planning and construction of a sound grass-roots medical and health service system, increased investment in grass-roots medical and health institutions, but it has not received the expected results. In order to solve the problem, the medical consortium-with a full-featured, hierarchical and resource-sharing structure has been proposed.
Overall, 1000 Electronic questionnaires about cognitive status of residents on medical alliance were randomly distributed in 50 community health service centers in 10 cities including Xuzhou, Nanjing, Hefei, Jinan, Zhengzhou, Changsha, Wuhan, Xi'an, Nanchang and Chengdu, China.
94.84% of the respondents responded they had heard about the construction of medical alliance, but they did not know the specific content. When asked about the preferred medical institution after illness, 93.50% participants preferred third-tier general hospital or specialist hospital. 62.58% of the respondents believe that the establishment of the medical alliance has not yet played a role and they are concerned that it cannot be effectively implemented. 62.27% of respondents were attracted by the convenience of medical alliance, 20.72% of respondents thought that they could easily get to famous doctors when they were in need, and 5.46% of respondents thought that there was no advantage in medical alliance.
The establishment of the medical alliance is an effective means to promote the optimal allocation of medical and health resources. Government should perform its functions, and medical institutions and the whole society should all participate.
中国医疗资源分布长期处于不均衡状态。自2009年起,政府启动健全基层医疗卫生服务体系的规划建设,加大对基层医疗卫生机构的投入,但未取得预期效果。为解决该问题,提出了具有功能齐全、分级分层和资源共享结构的医疗联合体。
总体而言,在中国徐州、南京、合肥、济南、郑州、长沙、武汉、西安、南昌和成都10个城市的50个社区卫生服务中心随机发放1000份关于居民对医疗联合体认知状况的电子问卷。
94.84%的受访者表示听说过医疗联合体建设,但不了解具体内容。当被问及患病后首选的医疗机构时,93.50%的参与者选择三级综合医院或专科医院。62.58%的受访者认为医疗联合体的建立尚未发挥作用,并担心其无法有效实施。62.27%的受访者被医疗联合体的便利性所吸引,20.72%的受访者认为在需要时能轻松看上名医,5.46%的受访者认为医疗联合体没有优势。
医疗联合体的建立是促进医疗卫生资源优化配置的有效手段。政府应履行职能,医疗机构及全社会都应参与。