What Are Octuplets?

The medical consortium refers to a regional medical consortium, which integrates medical resources in the same area. Usually a tertiary hospital, a secondary hospital, a community hospital, and a village hospital in a region form a medical consortium. The purpose is to solve the problem of people's difficulty in seeing a doctor. People with fever and cold do not need to be squeezed into a tertiary hospital. It can also be solved in small hospitals to solve the problem of difficult to see a doctor. The expected goals of people's satisfaction, government satisfaction, and employee satisfaction were achieved.

Medical union

The medical consortium refers to a regional medical consortium, which integrates medical resources in the same area, and is usually composed of tertiary hospitals in a region and

In order to deepen the reform of the medical and health system, promote the establishment of a community-based service model for large hospitals and an orderly service system for medical, rehabilitation, and nursing care, better utilize the expertise and leadership of tertiary hospitals, and strengthen the capacity building of community health institutions Encourage the development of rehabilitation and nursing institutions, build hierarchical medical care,

(1) Total shortage of medical resources.

(2) Medical expenses continue to increase.

(3) Drug prices are unrealistically high.

(4) Each hospital cannot share patient information.

(5) Human Resources Integration Needs a Breakthrough ^[3]

Medical Union Shanghai

On January 28, 2011, the first "regional medical consortium" in Shanghai was signed and launched in Luwan District. Whether this important measure of Shanghai's medical reform can have its effect, it is very important to explore for the first time. ^[4]

The first medical association signed and established in Luwan District, led by Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, led and integrated six primary and secondary medical institutions in the area to jointly serve the residents in the medical union.

The Luwan District Medical Consortium consists of 7 medical institutions: the third-level hospital is Ruijin Hospital, the second-level hospital is Ruijin Hospital Luwan Branch (Luwan District Central Hospital), the Luwan Southeast Hospital, and the first-level hospital is five miles. Qiaojie Community Health Service Center, Dapuqiao Community Health Service Center, Huaihai Middle Road Community Health Service Center, Ruijin Second Road Community Health Service Center.

Shanghai Blue Cross Brain Hospital Joins Medical Association ^[5]

On the morning of January 11, 2018, the "big family" of the regional medical consortium in Minhang District welcomed members of 4 social-run medical institutions: Shanghai Blue Cross Brain Hospital, Shanghai New Starting Point Rehabilitation Hospital, and Shanghai Qianmai Bomile Medical Laboratory 3. Shanghai Minbao Pediatric Clinic. The new members will effectively share the medical resources in the area, form a "refill pattern", and provide a full range of full-cycle health services for residents of Minhang District. ^[5]

After the establishment of the medical consortium, community residents can sign up for medical treatment in the medical consortium, and they can still take medical insurance cards in various hospitals in the city. However, the convenience of medical treatment within the medical union is more prominent. If there is a complete health file, priority can be given to outpatient and inpatient referral channels, and expert outpatient appointments can be made in the community.

Medical Union Beijing

Development status of Beijing Medical Union

By the end of 2013, Beijing had a total of Chaoyang Hospital Medical Alliance, Friendship Hospital Medical Community ^[6] , Shijitan Hospital Medical Consortium ^[7] , China-Japan Friendship Hospital Medical Union ^[8] , Pinggu Regional Unified Medical System, Beijing Children's Hospital Group ^[9] and other 6 pilot regional medical consortia ^[10] , from the following different levels and different perspectives, including: specialist counterpart support, business guidance, remote consultation, two-way referral, information exchange, and in some community medical institutions The establishment of regional specialized centers and joint drug distribution in the township health centers and other areas has made preliminary discussions on the construction of medical consortia and achieved certain results.

28 medical projects have been launched

The number of visits to medical institutions in Beijing has reached 180 million, of which nearly 40 million are from overseas patients and 140 million are local patients. The average number of locals visiting the hospital is 7 times a year, which is far higher than the international level. Large hospitals are mainly concentrated in the old urban area. Fang Laiying, the secretary of the Party Committee of the Beijing Hospital Administration, said that construction of regional medical centers has been started in remote suburbs and counties, and regional medical service centers in Fangshan, Daxing and Pinggu have been completed.

Many residents of the New City report that it is inconvenient to see a doctor. Fang Laiying said that in the future, the city will no longer approve the expansion of medical institutions within the Fifth Ring Road.

The city has launched 28 medical projects, both completed and under construction or proposed, including Beijing Ditan Hospital, Tongren Hospital Yizhuang Hospital District, Guang'anmen Hospital South District, Jishuitan Hospital Huilongguan Hospital District, and Chaoyang Hospital. Beijing West Hospital District, Qinghe Hospital District, etc. In addition, there are hospitals built by Tsinghua University in Tiantongyuan area, Peking University International Hospital, Tongzhou Branch of Friendship Hospital, Shunyi Courtyard of Friendship Hospital, overall relocation of Tiantan Hospital, overall relocation of stomatology hospital, Daxing courtyard of Beijing University Hospital, and Changying courtyard of Chaoyang Hospital Beijing Traditional Chinese Medicine Hospital Mantou Branch and other new technology hospitals will be constructed in the future. The proposed projects include the China-Japan Friendship Hospital Wangjing Branch, Anzhen Hospital Dongba Branch, the North Medical Third Hospital Haidian Houshan Project, Fuwai Hospital Tongzhou Branch Wait.

Medical Union Shaanxi

On December 8, 2018, from the Health and Health Committee of Shaanxi Province, we learned that in order to accelerate the sinking of high-quality medical resources and make it safer and more convenient for the people to see a doctor, Shaanxi Province has formed a medical group, a specialist alliance, and a telemedicine collaboration network There are 280 medical consortia in various forms, and 119 medical teams sent by 86 provincial and tertiary hospitals to assist 101 county-level hospitals, and assistance has been established to cover all poor counties and primary medical institutions below the county level. system. ^[11]

Medical Union Nanjing

On October 4, 2019, Nanjing issued the "Implementation Plan for Deepening the Reform of the Medical and Health System in Nanjing (2019-2020)", which called for advancing the orderly development of the medical consortium and establishing a scientific and reasonable hierarchical diagnosis and treatment system.

Nanjing City requires that the "Medical Union" core hospital dispatch no less than 400 medical staff each year. Promote the construction of regional medical communities, improve the new rural medical and health service system integrating districts, streets (towns), and villages; promote the formulation of a compact medical consortium constitution, establish a scientific and rational medical consortium decision-making mechanism, and establish a smooth and efficient operating mechanism .

According to the plan, in 2019, the agricultural-related districts in Nanjing will start the construction of county medical communities, the urban area will start the construction of compact medical consortia, and the community health service institutions (town health centers) and community health service stations ( Village clinics) all joined the medical consortium. With the existing specialized hospitals as the leader, a comprehensive specialist alliance in the city will be established.

At the same time, Nanjing will also standardize the establishment of a referral system. Establish a division of labor and cooperation mechanism to guide patients with clear diagnosis and stable condition to refer to lower-level medical institutions. Implement technical solutions for the classification and treatment of chronic diseases such as hypertension and diabetes, and improve two-way referral protocols and procedures. Establish incentive and restraint mechanisms, rationally open up the standard of hospitalization payment and fund payment ratios at different levels of medical institutions, and pay medical insurance to the grassroots. Explore the combination of classified management and classified diagnosis and treatment of medical insurance catalogs.

According to the plan, Nanjing will strengthen the management of graded diagnosis and treatment, and the city will implement no less than 10 diseases. The proportion of total consultations of primary medical institutions in the city to the total consultation volume of the city increased by more than 5% compared with 2018. ^[12]