2020 year 7 moon 9 day, Jointly issued by the National Health Commission and the State Administration of Traditional Chinese Medicine "Management Measures for Medical Consortium (trial implementation) " (National Health and Medical Development〔2020〕13 number, hereinafter referred to as "measure" ) , Accelerate the construction of medical consortia, Gradually realizing grid based layout management of medical consortia. The National Health Commission "measure" Interpretation as follows:

one, Why introduce it "measure" ?

According to the Party Central Committee, Decision and deployment of the State Council, Our committee regards the construction of medical consortia as an important lever to accelerate the construction of a hierarchical diagnosis and treatment system, In conjunction with the State Administration of Traditional Chinese Medicine, we will launch pilot projects for the construction of urban medical consortia and county-level medical consortia, across the country 118 A city, 567 Each county promotes a close knit medical alliance, Construction of medical community, Gradually realizing grid based layout management of medical consortia. as of 2019 year-end, Establish a national urban medical group 1408 a, County level medical community 3346 a, Cross regional Specialized Alliance 3924 a, Remote medical collaboration network for remote and impoverished areas 3542 a, in addition 7840 Family, social, and medical institutions join medical consortia. According to the data from the sixth health service survey, Two way referral of patients, 46. 9%For referral within the medical consortium, Higher than other referral methods. Leading hospitals guide grassroots to develop new technologies, Total new projects 15656 item, compare 2018 Year end growth 34. 5%. Leading hospitals to dispatch professional technical and management talents to grassroots levels 78 Ten thousand people, compare 2018 Year end growth 28. 0%.

Actively exploring in various regions, A batch of typical experiences have emerged. Huzhou, Zhejiang, Rizhao, Shandong, Guangzhou Huadu, Liaoning Dalian promotes grid based layout and management of urban medical consortia, Realize the sinking of high-quality medical resources and the sharing of resources within the region. Deqing, Zhejiang, Fujian Youxi promotes the construction of a closely knit county-level medical community, Effectively enhance the capacity of county-level medical services. The National Health Commission has sorted out the pilot work for the construction of medical consortia, Summarize and extract typical experiences from various regions, Formulate normative documents for the management of medical consortia, To promote the sustainable and standardized development of medical consortia, Building a hierarchical diagnosis and treatment system is of great significance.

two, What are the basic principles for the construction of medical consortia?

The construction of medical consortia should adhere to the following basic principles: One is to adhere to government leadership. The construction of urban medical groups and county-level medical communities should adhere to government leadership, Implement grid management based on regional medical resource structure layout and public health needs. Secondly, we must adhere to the unchanged responsibility of the government as the main body of medical services, Effectively maintain and safeguard the public welfare of basic medical and health services. Thirdly, adhere to medical care, medical insurance, Medical linkage reform, Guide the establishment of a comprehensive mechanism for division of labor, cooperation, and benefit sharing within the medical consortium. Fourthly, we should adhere to putting people's health at the center, Guide the sinking of high-quality medical resources, Promote disease prevention, treatment, Combining management, Gradually achieving homogeneous management of medical quality.

three, What are the basic principles of grid layout management for medical consortia?

Urban medical groups and county-level medical communities implement grid based layout management, To follow "planning and development, Partition package segment, combine prevention with control, industry regulation" Plan according to the principles, layout, construction. Give full play to the leading role of municipal and county-level hospitals, as well as hospitals representing regional medical standards, Encourage traditional Chinese medicine hospitals to take the lead in establishing various forms of medical consortia.

four, How to leverage the government's leading role? How to achieve medical consortium "Partition package segment" management?

The prefecture level cities and county-level health administrative departments shall formulate plans for the construction of medical consortia in their respective regions, Based on geopolitical relations, population distribution, Public demand for medical treatment, Factors such as the distribution of medical and health resources, Divide the service area into several grids, Integrate medical and health resources within the grid, Establish a hospital led by a tertiary public hospital or a hospital representing the medical level of the jurisdiction, Several other hospitals, Primary healthcare institutions, Medical consortia with public health institutions as members.

in principle, Each grid is managed by a medical group or medical community, Provide disease prevention for residents within the grid, diagnosis, treatment, nutrition, recovery, nursing, Integration of health management and other aspects, Continuous healthcare services.

five, Do you encourage social medical institutions to participate in medical consortia?

"measure" Clear requirements for fully mobilizing the enthusiasm of social participation in medical services, Encourage social forces to run medical institutions and participate in medical consortia on a voluntary basis.

six, How to strengthen internal management of urban medical groups and county-level medical communities?

Urban medical groups and county-level medical communities should establish specialized institutions for managing medical consortia, Coordinate the planning and construction of medical consortia, Investment guarantee, project implementation, personnel arrangement, Major issues such as salary distribution and assessment supervision. A medical consortium charter should be established, Specify the responsibilities of the leading hospital and other member units, rights and obligations, Establish a mechanism for sharing benefits. at the same time, Strengthen the Party building work of medical consortia, Give full play to the direction of the Party committee, Manage the overall situation, Make decisions, Promote reform, Leadership role in ensuring implementation.

seven, How to achieve unified management of urban medical groups and county-level medical communities?

Urban medical groups and county-level medical communities should be streamlined according to regulations, The principle of efficiency, Integrate public health settings, finance, Human Resources, Information and Logistics Management Center, Gradually realizing administrative management within the medical consortium, medical services, Public health services, logistics service, Unified management of information systems, Coordinate the infrastructure construction within the medical consortium, Material procurement and equipment configuration, Proactively control operating costs.

eighty percent, How to implement the requirement of distinguishing between urgent and slow treatment in medical consortia?

Each medical institution within the medical consortium should strictly implement its own functional positioning, Implement the requirement of distinguishing between urgent and slow treatment. The leading hospital should gradually reduce common diseases, frequently occurring disease, Proportion of chronic disease patients with stable conditions, Proactively treating patients in the recovery period of acute illness, Patients in the postoperative recovery period and critically ill stable period should be promptly referred to lower level medical institutions for further treatment and rehabilitation, Provide disease diagnosis and treatment for patients—recovery—Long term care continuity services.

nine, How to implement the requirements of combining prevention and treatment in medical consortia?

Urban medical groups and county-level medical communities should implement the requirements of combining prevention and treatment, Give equal importance to prevention and control services. Hospitals within the medical consortium work together with public health institutions to guide grassroots medical and health institutions in implementing their public health functions, Pay attention to the advantages of traditional Chinese medicine in preventing diseases before they occur, Promote the three-level prevention and continuous management of diseases, Jointly do a good job in disease prevention, Health management and health education work.

ten, How can medical consortia play a driving role at the grassroots level?

One is to establish a two-way referral channel and platform between the leading hospital and member units, Establish and improve two-way referral standards, Standardize the two-way referral process, Provide smooth referral and continuous diagnosis and treatment services for patients. The second is to establish a linkage between general practice and specialized departments, Contract doctors and team collaboration, Service mechanism for organic integration of medical and preventive measures, A team composed of general practitioners from primary healthcare institutions and hospital specialists within the medical consortium, Provide team signing services for residents within the grid. Thirdly, strengthen guidance for member units, Co construction through specialized programs, Collaborative cooperation in education and training, Collaboration in scientific research projects and various other ways, Key assistance to enhance the medical service capabilities and management level of member units.

eleven, How to build a specialized alliance?

According to the patient's cross regional diagnosis of diseases and technical needs, Targeted coordination of specialized alliance construction.

Targeting the significant health hazards to the public, Major diseases with high demand for medical treatment, Strengthening the construction of key disciplines, Focus on promoting cancer, cardiovascular, Cerebrovascular and other disciplines, And pediatrics, Obstetrics and Gynecology, Department of Anesthesiology, Department of Pathology, Construction of specialized alliances for psychiatric and other scarce medical resources. Actively promote breathing, Intensive Care Medicine, Construction of specialized alliances for infectious diseases and other diseases, Focus on improving the ability to prevent and treat major epidemics.

Focus on leveraging the subordinate departments of the committee (pipe) hospital, University Affiliated Hospital, Specialized advantages of provincial hospitals and maternal and child health hospitals, Radiating and driving the improvement of medical service capabilities within the region.

twelve, How does the specialized alliance carry out its work?

Specialized alliances should establish an alliance charter, Clarify the organizational management and cooperation forms of specialized alliances. The leading unit and member units shall sign a cooperation agreement, Define the responsibilities of each unit, rights and obligations. Focus on doing several tasks well: One should use specialized cooperation as a link, Fully leverage the leading hospital's technological radiation and driving role, Co construction through specialized programs, Collaborative cooperation in education and training, Various methods such as scientific research and project collaboration, Enhance the medical service capability and management level of member units. The second is to strengthen the sharing of data information resources while ensuring data security, Safety Management. Thirdly, strengthen the management of medical quality, Refine medical quality management standards and requirements, Guide member units to strengthen medical quality management, Improve the homogenization level of medical services.

thirteen, How to build a remote medical collaboration network?

It should be combined with the construction of the regional national health information platform, Under the commission (pipe) hospital, University Affiliated Hospital, Provincial hospitals and maternal and child health hospitals are the main leading units, Focus on developing towards remote areas, Remote Medical Collaboration Network in Impoverished Areas, Improve the province-prefecture-level city-county-township-Village level five remote medical service network.

fourteen, How to carry out the work of remote medical collaboration network?

The leading unit and member units shall sign a remote medical service cooperation agreement, Clarify the rights and obligations of both parties, Protecting the legitimate rights and interests of both doctors and patients. The leading unit should fully leverage the role of technological radiation to drive progress, Through remote healthcare, teleconsultation, remote ward rounds, distance teaching, Remote electrocardiogram examination, Remote monitoring and other forms, Gradually promote Internet diagnosis and treatment, Utilize information technology methods, Sinking high-quality medical resources, Enhancing the capability of primary healthcare services, Improve the accessibility of high-quality medical resources.

fifteen, How to evaluate medical consortia?

By the Health Administration Department, The competent authorities of traditional Chinese medicine and the leading units of medical consortia shall follow the "Work Plan for Comprehensive Performance Assessment of Medical Consortium (trial implementation) " Requirements related to performance evaluation of public hospitals, Strengthen the comprehensive performance evaluation of medical consortia. at the same time, Establish a comprehensive performance evaluation and dynamic adjustment mechanism for medical consortia, Annual performance evaluation of the construction of medical consortia in the jurisdiction, And publish it in an appropriate form.

sixteen, What are the key points of performance evaluation for medical consortia?

Focusing on the assessment of urban medical groups and county-level medical communities, Mainly assess the operation mechanism of medical consortia, Division of labor and collaboration within the medical consortium, Regional resource sharing and sinking situation, Utilize the radiation effect of technology, Sustainable development of medical consortia, And the improvement of public health and residents' health. at the same time, The key assessment of the leading units in the specialized alliance and remote medical collaboration network focuses on the effectiveness of their technological radiation and the improvement of residents' health.

Expert Interpretation 1

The construction of medical consortia has entered a new stage of standardized development
Research Center for Healthcare Reform at Renmin University of China
Wang Hufeng

In the normalization stage of epidemic prevention and control, The 14th meeting of the Central Committee for Comprehensively Deepening Reform proposed key tasks such as accelerating the improvement of the hierarchical diagnosis and treatment system and perfecting the medical prevention coordination mechanism, In this context, "Management Measures for Medical Consortium (trial implementation) " (hereinafter referred to as "Administrative Measures" ) introduce, issue, enact, roll out, It has important guiding significance for the development of medical consortia, It also marks a new stage of standardized development in the construction of medical consortia in China. Deeply understand and implement the spirit of the document, For doing well in the current and even "the 14th Five-Year Plan" The construction of medical consortia during this period has significant practical significance.

one, Deeply understand the background and significance of the document's issuance

The hierarchical diagnosis and treatment system is a part of China's healthcare system "Five basic medical systems" The Head, It is also an important component of the supply side structural reform of the healthcare system. 2015 year, Issued by the General Office of the State Council "Guiding Opinions on Promoting the Construction of Graded Diagnosis and Treatment System" (National Development Office〔2015〕70 number) , Proposed a sixteen character policy to promote the construction of a hierarchical diagnosis and treatment system, namely "First visit at the grassroots level, two-way referral, Urgent and Slow Treatment, Up and down linkage" , Simultaneously exploring the establishment of multiple division of labor and collaboration models such as medical consortia. 2017 The General Office of the State Council released "Guiding Opinions on Promoting the Construction and Development of Medical Consortium" (National Development Office〔2017〕32 number) , Clearly state in the guiding ideology section "Transforming the development mode from disease centered to health centered" , And clarified the four organizational models in the construction of medical consortia, Urban Medical Group, County level medical community, Cross regional Specialized Alliance, Remote Medical Collaboration Network. The above documents provide a policy framework and guidance for the development direction of medical consortia as top-level planning.

2018 year, To implement the spirit of the State Council documents, Promote the better and faster development of medical consortia, The National Health Commission and the State Administration of Traditional Chinese Medicine have successively issued "Work Plan for Comprehensive Performance Assessment of Medical Consortium (trial implementation) " (National Health and Medical Development〔2018〕26 number) and "Notice on the Key Work of Further Improving the Construction of Graded Diagnosis and Treatment System" (National Health and Medical Development〔2018〕28 number) , More emphasis has been placed on the refined management and standardized development of medical consortia. 2020 In response to the COVID-19, Various medical consortium organizations, Especially, urban medical groups and county-level medical communities have played an important supporting role, Organized prevention and control of regional epidemics, The effect is obvious, But it also exists "combine prevention with control" Problems such as inadequate mechanisms. The 14th meeting of the Central Committee for Deepening Reform emphasized the need to accelerate the improvement of the hierarchical diagnosis and treatment system, Key tasks such as improving the collaborative mechanism between medical and preventive measures, Issued in the current context "Administrative Measures" , For unwavering confidence, build consensus, Promoting the healthy and sustainable development of medical consortia and playing an important role in the normalization of epidemic prevention and control, All have strong guiding significance.

two, Fully understand "Administrative Measures" The spiritual connotation in the general principles

"Administrative Measures" The General Principles of the Medical Consortium clarify the guiding ideology and principles for the development of medical consortia, concise and comprehensive, Profound connotation. The proposed "Three Persistences" Worth special attention: first, File proposal "The construction of medical consortia should adhere to the principle of putting people's health at the center" . The entire text highlights "health" This main line, Emphasize the promotion of disease prevention, treatment, Combining management. Medical consortia are an important organizational form for the supply of medical and health services, To align with macro goals "Building a Healthy China" Consistent with strategic requirements, Match with the new era's health work policy, To incorporate health concepts and prevention factors into it, Implement on the medical consortium platform "integration of medical treatment and prevention" , Further promote the improvement of the health level of regional residents. second, "The construction of medical consortia should adhere to the principle of medical care, medical insurance, Medical linkage reform" . The construction of medical consortia as an important change in the organizational form of medical institutions, Involving changes in the external governance system and policy adjustments, Including gradually abolishing administrative divisions, fiscal input, medical insurance payment, Barriers and obstacles in personnel management and other aspects, need to pass through "Three medical linkage" To build an external governance system that matches the development goals of medical consortia, Stimulating the vitality and driving force of the development of medical consortia. third, "The construction of urban medical groups and medical consortia should adhere to government leadership" . Further emphasizing the importance of government leadership in the construction of medical consortia, And implement the government's financial investment responsibility for various medical institutions within the medical alliance, Maintain and safeguard the public welfare of basic medical and health services, Encourage and supervise public hospitals to fulfill their social responsibilities; At the same time, it is emphasized that the construction of medical consortia should be carried out according to the plan, Implement grid management within the region.

three, Grasp the innovative points in the document and improve the quality standards of medical consortium construction

"Administrative Measures" Further clarification is needed "planning and development, Partition package segment, combine prevention with control, industry regulation" On the basis of principles, And combined with the development stage of medical consortium construction and new requirements for epidemic prevention and control, Participate in epidemic prevention and control in medical consortia, Social medical institutions participate in the construction of medical consortia, There are distinct innovative points and highlights in the standardization and refinement of medical consortium management.

first, More emphasis is placed on the role of medical consortia in the prevention and control of infectious diseases and their functions in public health. One is to strengthen the ability of medical consortia to handle major public health emergencies, Including emergency material reserves, Emergency drills, etc. The second is to enhance the ability to prevent and treat major epidemics, Emphasis was placed on strengthening breathing, Intensive Care Medicine, Construction of specialized alliances for infectious diseases and other diseases. Thirdly, strengthen medical consortia "combine prevention with control" role, Including the inclusion of public health institutions as members of medical consortia, Encourage specialized hospitals for infectious diseases to be included in the grid management of medical consortia, Guide grassroots health institutions to implement public health functions, etc, Emphasize the promotion of three-level disease prevention and continuous management. Fourthly, we will further encourage traditional Chinese medicine to take the lead in establishing medical consortia, Emphasize the strengthening of collaboration between Chinese and Western medicine in the construction of medical consortia, Utilize Traditional Chinese Medicine "preventive treatment of disease" the advantage of.

second, Encourage social medical institutions to participate in the construction of medical consortia, Protecting patients' rights. One is to encourage social medical institutions to participate in the construction of medical consortia, Emphasis was placed on the administrative department's monopoly of resources by medical consortia, The supervision of squeezing the problem of social medical services, At the same time, it is pointed out that the construction of medical consortia should reflect social responsibility. The second is to encourage within the same city or county, Establishing mutual cooperation between different medical groups or medical communities, orderly competition, The mechanism of scientific development, Simultaneously safeguarding patients' right to choose their own medical treatment.

third, Further standardization and refinement of the management of medical consortia. One is to clarify hierarchical management, Further clarified the leading units of different types of medical consortia, The urban medical group and county medical community are mainly led by prefecture level hospitals, county-level hospitals, and hospitals representing the medical level of the jurisdiction, Specialized alliances and telemedicine are mainly under the jurisdiction of the committee (pipe) hospital, University Affiliated Hospital, Provincial hospitals and maternal and child health hospitals take the lead. Secondly, regarding the constitution of the medical consortium, Party building, Functional Center Setting, Inspection center setup, Financial Management, Personnel Management, More clear and detailed regulations have been made in the field of pharmaceutical management, Provided clear and standardized reference opinions on the many management issues that exist in the practice of medical consortium construction.

four, Promoting policy implementation through scientific performance evaluation

"Administrative Measures" Use specialized chapters to define the assessment and evaluation of medical consortia, Strengthening the incentive and constraint role of performance evaluation in medical consortia, Emphasizing the promotion of policy implementation through scientific assessment and evaluation. first, Emphasize the implementation of performance evaluation for medical consortia 26 Requirements related to document number, Establish a comprehensive performance evaluation and dynamic adjustment mechanism for medical consortia, Publish performance evaluation results in an appropriate form, And serve as a hospital review and evaluation, Basis for the establishment of medical centers and regional medical centers. second, Emphasis was placed on incorporating the improvement of public health and residents' health into urban medical groups and county-level medical communities, As an important assessment content, motivate medical consortia. third, For the first time, it is explicitly stated that assessments should also be conducted on specialized alliances and remote medical collaboration networks, Mainly focusing on two aspects: technological radiation and improvement of residents' health. The new spirit of performance evaluation mentioned above, It is an important supporting project for the construction of medical consortia, It is also an important means to promote the healthy and sustainable development of medical consortia, In the spirit of reform, Innovative means, Comprehensive measures are necessary to effectively promote the deepening development of medical consortium construction.

Expert Interpretation 2

"Management Measures for Medical Consortium" Expert Interpretation
National Health Commission Health Development Research Center
Zhao Kun Zhao Rui

The hierarchical diagnosis and treatment system is an important component of the basic medical and health system with Chinese characteristics, It is the fundamental solution to the problem of seeking medical treatment for the masses. The construction of medical consortia is an important lever for promoting the construction of a hierarchical diagnosis and treatment system, It is a self integration of the medical and health service system, self-optimization, self-improvement. "Basic Medical and Health Care and Health Promotion Law of the People's Republic of China" It is explicitly proposed to promote the implementation of a hierarchical diagnosis and treatment system for basic medical services, Establish a collaborative medical service cooperation mechanism, such as a medical consortium, tailored to local conditions. according to "Guiding Opinions of the General Office of the State Council on Promoting the Construction and Development of Medical consortia" (National Development Office〔2017〕32 number) requirement, Exploration and Practice of Volume Extremity in Medical Associations Across the Country, By establishing an internal division of labor and collaboration mechanism, Refine the functional positioning of the institution, Clarify referral pathways and rules, To allocate medical resources reasonably, Optimize the diagnosis, treatment, and medical landscape, Improve the overall efficiency of the service system and provide an effective carrier, Provided strong impetus for the construction of the hierarchical diagnosis and treatment system. Facing the sudden COVID-19, Various regions rely on medical consortia to build a grassroots grid governance system, By leveraging the system, professional, synergistic effect, Build communities and streets into tight knit ones, safe "Anti epidemic fortress" , Explored a grassroots focused approach, Using medical consortia as carriers, National People's Joint Prevention and Control, A new collaborative governance model for health and hygiene through group prevention and control.

"Management Measures for Medical Consortium (trial implementation) " By solidifying mature experiences from various regions into institutional frameworks, Clearly defined medical consortium "Who will build it" "How to build" "How to connect" "How to assess" Waiting for key issues, Promoting the standardized development of medical consortia, Especially in response to the recent shortcomings in epidemic prevention and control, Fill in loopholes from the perspective of institutional mechanisms, strengths and weaknesses, Further clarified the direction for the construction of medical consortia in various regions.

One is to emphasize government guidance, clarify "Who will build it" . Focus on promoting grid management of urban medical groups and county-level medical communities, Emphasis on government planning as the main approach, Give full play to the city, The leading role of county-level hospitals and hospitals representing regional medical standards. Coordinate regional medical resources, avoid "Disorderly competition" , "Horse racing enclosure" . Advancing Cancer, cardiovascular, Major diseases such as cerebrovascular disease, And pediatrics, Department of Anesthesiology, Department of Pathology, Construction of specialized alliances for psychiatric and other scarce medical resources, Developing towards remote areas, Remote Medical Collaboration Network in Impoverished Areas, Mainly led by national and provincial hospitals for construction.

The second is to emphasize grid management, guidance "How to build" . Clearly require compliance with "planning and development, Partition package segment, combine prevention with control, industry regulation" The principle of, Grid based layout management for medical consortia. in the city, According to geography, medical resources, Factors such as medical needs, Integrate regional medical resources to form a closely knit medical group; in the countryside, Establish a county-level medical community led by county-level hospitals, Promote the integration of counties and townships, Rural integration. Using cities and counties with districts as units, Divide the service area into several grids based on the distribution of medical resources, Each grid is managed by a medical group or medical community. Led by the leading hospital with overall responsibility, Collaborate with public health institutions to guide grassroots medical and health institutions in implementing public health functions. industry regulation, Transforming traditional regulation of individual medical institutions into regulation of medical consortia and medical communities. In practice, Under the jurisdiction of Rizhao General in Shandong Province 2 district, 2 The county is divided into 3 A grid, Handed over to the Municipal People's Hospital, Led by the Municipal Traditional Chinese Medicine Hospital and others 3 A medical consortium is responsible for, Effective integration and sharing of medical resources within the region, The division of labor and cooperation between medical institutions are gradually taking shape. Zhenjiang, Jiangsu, Luohu, Shenzhen, Chongming, Shanghai, Huzhou, Zhejiang, Sanya, Hainan, Guangzhou Panyu Grid Forming Urban Medical Group, Deqing, Zhejiang, Youxi, Fujian, Changshu, Jiangsu, Shandong Wudi promotes the construction of county-level medical community, Realize the sinking of high-quality medical resources and the sharing of resources within the region.

The third is to emphasize integrated management, build "Consortium" pattern. On the basis of grid based establishment of medical consortia, Promote the development of medical consortia towards closer collaboration, Implement internally "unification" management, Implementing personnel position management within the medical consortium, preparation "pool" , Gradually achieve unified allocation of personnel within the medical consortium; Unified financial management, Centralized accounting, Coordinated operation; infrastructure, Unified management of material procurement and equipment configuration; medical imaging, Sharing of medical resources such as inspection and testing, Unified construction of information platform. Like Chongming in Shanghai, Guangzhou Panyu Medical Group, Deqing, Zhejiang, Fujian Youxi County Medical Community realizes close cooperation among medical consortia, Internal unified management, Integration and sharing of medical resources.

Fourthly, emphasis is placed on improving the operational mechanism, solve "Lianxin" problem. Further clarify the responsibilities of the leading hospital and other member units, rights and obligations, Strengthen the leading hospital "Take overall responsibility" , Give full play to leading hospitals in medical services, Quality Management, The radiation driving effect in fields such as technological applications. Establish a mechanism for sharing benefits within the medical consortium, Promote medical consortia to become "community of shared interests" , Mobilize the enthusiasm of all member units within the medical alliance. Strengthen the division of labor and cooperation mechanism among medical institutions within the medical consortium, Establish a two-way referral channel and platform between the leading hospital and member units, Provide continuous diagnosis and treatment services for patients. Implement the functional positioning of medical institutions. Give full play to chronic disease medical institutions within the medical alliance, And rehabilitation, The role of nursing institutions, Gradually forming a fast and slow differentiation model. at the same time, On the basis of doing a good job in disease diagnosis and treatment, hospitals within the medical consortium, Actively participate in family doctor contract services, Guide the implementation of public health work, Implement the requirements for integrated prevention and control. Implement service mode by "Centered around treating diseases" to, toward, at, facing "Centered on health" transform. Like Luohu in Shenzhen, Zhenjiang, Jiangsu, Establishing a tight medical alliance in Yangzhou, Jiangsu, Leading hospital and community health service center, Rehabilitation Hospital, Nursing homes and other member units form a division of labor and cooperation mechanism, Provide continuous diagnosis and treatment services for patients, Convenient for patients to seek medical treatment.

The fifth is to emphasize assessment and evaluation, guarantee "high-quality development" . Clarify once again the health administrative departments at all levels, The competent authorities of traditional Chinese medicine and the leading units of medical consortia should strengthen the comprehensive performance evaluation of medical consortia. Simultaneously using the assessment results as hospital evaluation criteria, Basis for the establishment of medical centers and regional medical centers. Promote high-quality medical consortia through assessment and supervision, Sustainable development.

at the same time, In the practice of building medical consortia in various regions, We need to strengthen the construction of a system that combines peacetime and wartime.  Firstly, the construction of medical consortia should be effectively implemented "treat a disease" Centered towards "health" Centered transformation. Strengthen the use of medical consortia as a platform, The coordinated development of medical services and public health services. Secondly, it revolves around "Focus on grassroots level, Prevention first, combine prevention with control" The policy and principles, Implementing Family Doctor Contract Services, Dynamically grasp the health status and risk factors of contracted individuals through compaction, Timely reporting and other responsibilities. Strengthen the reserve of emergency protective materials, etc. Improve the ability to prevent and control infectious diseases, Promote reasonable stratification, Diversion and treatment. Strengthen rehabilitation, Construction of functional areas such as health management. The third is to strengthen the advantages of informatization, Consolidate the effectiveness of grid based governance collaboration in medical consortia. Strengthen the construction of grassroots informatization and integrate its application, Give full play to the fundamental role of residents' health records, Fully utilize artificial intelligence, Information technology tools and other means, Carry out grid management, health education, Health monitoring and tracking services, Follow up service, Infectious risk assessment, etc. Promote the construction of smart hospitals, Using the Internet+, Implementing graded diagnosis and treatment through information technology such as telemedicine. Effectively making the achievements of medical consortium construction benefit the general public.