通过组建公立医疗机构联合体,使优质资源下沉,帮助基层提升服务能力,从而留住患者,推动分级诊疗。上述内容是卫生行政部门良好的主观愿望,但客观上作用有限:第一,组织结构决定当前多数医联体不可能以分级诊疗为目的;第二,在市场经济条件下三级大医院分级诊疗动力不足;第三,在无竞争压力的情况下基层医疗机构工作缺乏积极性;第四,大医院专家难以真正解决基层医疗困局。 Through the establishment of public medical institutions consortium, so that the quality of resources sink, to help grass-roots upgrade service capabilities, so as to retain patients and promote the classification of treatment. The above content is a good subjective desire of the administrative department of health, but objectively has a limited role. First, the organizational structure determines that the majority of medical affiliated bodies can not be treated as graded clinics. Second, under the market economy, the grading of major hospitals Lack of motivation; thirdly, there is a lack of enthusiasm in the work of grass-roots medical institutions under conditions of no competitive pressure; and fourth, it is difficult for major hospital experts to really solve the predicament in primary medical care.