关键词: 医疗共同体, 县域医疗服务, 基层医疗卫生, 做法, 成效, 卫生保健改革

Abstract: The construction of county-level medical alliance（CMA） is an important breakthrough to improve the ability of health care at grassroots level and deepen the medical reform. However，there is currently no unified operation mode of CMA in China. Zhejiang Province carried out the pilot construction of CMA in September 2017，and determined the pilot reform path of "three unifications" of unified institutional setting，staff recruitment and allocation，and medical and health resource allocation，"three integrated plans" for fiscal and financial management，medical insurance payment，and information sharing，and "three emphasis" on hierarchical diagnosis and treatment，contracted family doctor services，and public health. Zhejiang Province comprehensively promoted the above reform plan in the whole province in September 2018，and has made some positive progress. This paper summarizes and analyzes the main methods of health-related work in Zhejiang Province under the background of comprehensively promoting the construction of medical alliance. It mainly includes the work responsibilities and tasks of relevant departments，contracted services of family doctors，basic public health services，and the reform of compensation mechanism of primary health care institutions. In addition，this paper reports in detail the achievements that Zhejiang Province has made in terms of the grassroots service ability，CMA pattern，and the enthusiasm of primary health care staff since the construction of medical alliance. It is hoped that the practice of "Zhejiang Mode" in this paper can provide reference for the construction of medical alliance in other regions.

Key words: Medical alliance, County-level medical services, Primary health care, Practice, Effect, Health care reform