The first-level hospital is a primary hospital that directly provides medical, preventive, rehabilitative, and comprehensive health care services to the community, and is a primary health care institution. Its main function is to provide primary prevention directly to the population, in the community management of multiple common diseases and patients and difficult to do the correct referral of serious illnesses, to assist high-level hospitals to improve intermediate or post-hospital services, and rational triage of patients.
Second-level hospitals are regional hospitals that provide medical and health services across several communities, and are the technical centers of regional medical prevention. Its main functions are to participate in guiding the monitoring of high-risk groups, to receive first-level referrals, to provide operational and technical guidance to first-level hospitals, and to be able to conduct a certain degree of teaching and scientific research.
Example of a grade nameplate
Tertiary hospitals are hospitals that provide medical and health services across regions, provinces and cities as well as to the entire country, and they are medical and preventive technology centers with comprehensive medical, teaching and scientific research capabilities. Its main function is to provide specialized (including special specialties) medical services, solve critical and difficult cases, accept secondary referrals, business and technical guidance to lower hospitals and training of personnel; to complete the cultivation of a variety of high-level medical professionals teaching and undertake the task of scientific research projects in the province and above; participate in and provide guidance for the work of first- and second-degree prevention.
The delineation, layout and setup of the first, second and third level hospitals shall be decided by the regional (i.e., administrative divisions of cities and counties) health authorities in accordance with the unified planning of the population's demand for medical and health services. The level of hospitals should be relatively stable in order to maintain the integrity and rational operation of the three-tier medical prevention system.
Based on the comprehensive level of hospitals, China's hospitals can be divided into three levels and ten classes.
The standards and indicators of hospital grading, the main content should be:
(1) the size of the hospital, including beds set up, construction, staffing, departmental settings and other four aspects of the requirements and indicators;
(2) the hospital's technical level, i.e., with the level of hospitals corresponding to the level of technology, the requirements and indicators in the standards by department;
(3) medical equipment;
(4) the management level of the hospital, including the quality of the director, personnel management, information management, modern management techniques, hospital infection control, resource utilization, economic efficiency and other seven requirements and indicators;
(5) the quality of the hospital, including the quality of diagnosis, quality of treatment, quality of care, quality of work, quality of integrated and so on several aspects of the requirements and indicators. China's current hospital grading standards, mainly at all levels of first-class hospitals as a benchmark. First-class hospital standards, is the current, or within the next 3-5 years to meet the state, hospital management and health related requirements of the standard, is the same level of hospitals in the advanced hospital standards, but also in the future construction of new hospital standards.
Legal basis:
"Regulations on the Administration of Medical Institutions"
Article 40 The State implements a system of accreditation of medical institutions, the accreditation committee composed of experts in accordance with the methods of accreditation and accreditation standards of medical institutions, medical institutions of the practice of law and the quality of medical services and other comprehensive evaluation.
Methods and standards for accreditation of medical institutions shall be formulated by the State Council administrative department of health.