关键词: 罗湖医改, 深化医改, 医疗联合体, 整合型医疗卫生服务

Abstract: In 2015,Luohu District,Shenzhen City,Guangdong province carried out the reform of medical and health service system with a healthy population as the top concern.After integrating the public medical institutions under the jurisdiction,Shenzhen Luohu Hospital Group,a compact medical partnerships with the sole legal representative,was established as the carrier of the reform.The reform tries out the health-oriented medical insurance payouts system,focuses on improving the community-level construction of basic medical care and public health service,conducts measures such as integration of education and health,integration of medical prevention and medical care,integration of elderly care and medical services,builds a health service network to protect the public health of the whole cycle in an all-round way for the whole society,solves the problems of ‘difficult to see a doctor’and ‘expensive to see a doctor’,and strives to achieve the final goal of ‘fewer illnesses,fewer hospitalizations,less burden,better healthcare’for residents.In the past five years,the health literacy of residents in Luohu district has been increased from 13.57% to 41.59%.Compared with 2017,the number of cases of hand-foot-mouth disease in Luohu district decreased by 9.97% and the number of Chickenpox cases decreased by 27.52% in 2018.Besides,the morbidity and mortality rate of malignant tumors decreased since 2016.From 2014 to 2019,the number of basic diagnosis and treatment of community health service centers held by the Shenzhen Luohu hospital group increased by 34.22% on average,who was ranked first in the city for two consecutive years in the third-party survey of residents' service satisfaction.Thus,it can be seen that the residents' concept of primary diagnosis in community-level has gradually formed.In addition,the on-site promotion meeting of national medical partnerships construction and the promotion meeting of Guangdong provincial medical partnerships construction in 2017 were held in Luohu district,in which Luohu medical reform was promoted to the whole province and the whole country as a typical example of urban medical partnerships construction.Subsequently,the World Health Organization issued an article in 2018,in which the key reform measures and implementation strategies of Luohu medical reform were described in detail.Moreover,some experts believe that Luohu medical reform has provided China's plan and wisdom to solve the worldwide problem of medical reform.

Key words: Luohu medical reform, Deepening the health care system reform, Medical alliance, Integrated medical health service