Abstract:

Driven by the strategy of “enhancing the grassroots”, the construction of the county medical community has become the key to improving the primary healthcare service capacity. The sudden public health emergency has posed a new challenge. Effectively responding in the context of time constraints and sudden increases in demands for medical care has become the focus of common concern of practical departments and academia. From the perspective of holistic governance, this paper focuses on the two core theoretical elements of holistic coordination and organizational re-integration. Taking the reform of county medical community in Zhejiang Province as the research object, this study empirically analyzed the impact of reform on the capacity to cope with public health emergencies, and explains the mechanism of reform through case analysis. The results show that the reform can significantly improve the coping capacity of the grassroots. The completion of the reform is closely related to the performance of the two coping stages: early warning of the risk and medical treatment. Capacity improvement can be achieved by relying on the multi-subject collaborative linkage mechanism and the demand-driven resource coordination mechanism, respectively.

Key words: county medical community, integrated health service system reform, public health emergencies, risk early warning, medical treatment