目的：完善医联体发展体系，增进全民健康水平。方法：根据有关资料分析医联体发展中仍然存在诸多难题，寻求解决方法。结果：缺乏系统的管理架构、基层“接不住”的问题突出、资源共享机制不健全、“利益分配”格局不完善等因素共同制约了医联体健康有序发展。结论：强化管理机制、大力推行分级诊疗、强化内部资源共享、推广家庭医生签约模式成为医联体发展的重要方向。

Objective：Improve the medical consortium development system and promote the health of all the people. Methods：Analyze the problems that remain in the development of medical consortium，to find a solution. Results：Lack of systematic management structure，inadequate service capacity of grassroots organizations，imperfect resource sharing mechanism and profit distribution pattern have all restricted the healthy and orderly development of the medical consortium. Conclusion：Strengthening management mechanism，vigorously carrying out hierarchical medical system，strengthening internal resource sharing and implementing family doctor contract model will become important directions for the further development of medical consortium.