From 2015, China's government formally graded diagnosis and treatment system as the top priority of health care reform, the State Council issued [2015] No. 70 proposed that by 2020, the grass-roots level of first diagnosis and treatment, two-way referral, emergency and slow treatment, up and down the linkage of graded diagnosis and treatment model gradually formed, and basically established in line with the national conditions of the system of graded diagnosis and treatment The basic content is as follows:
1, grass-roots referrals
Grass-roots referrals are one of the most important elements of the hierarchical diagnosis and treatment system, and grass-roots referrals are an important way of solving the problem of residents' difficulties in accessing medical care. In order to realize primary first aid, it is necessary to improve the medical service capacity of primary medical institutions. And the enhancement of primary medical service capacity requires the enhancement of two aspects of capacity. One is to improve the overall level of facilities and equipment in primary care organizations, and the other is to improve the level of medical skills and service capabilities of primary care doctors.
2, two-way referral
Primary first aid and two-way referral is the key link in the hierarchical diagnosis and treatment system, the system is designed to allow primary care institutions to screen some common diseases, stay in the primary care institutions to diagnose and treat the difficult and complicated cases are referred to higher hospitals for further treatment, so that not only to reduce the patient's queuing up in the big hospitals to see the cost of time, and also to reduce the big hospitals doctors. "Do not use a bull's knife to kill a chicken" waste of resources, but also reduce health insurance spending.
3, acute and slow treatment
Because of the three hospitals and primary health care institutions are open general outpatient clinics, there is a strong competitive relationship between the two, therefore, in the choice of "cost-effective" rational choice of health care services, and the quality of health care services and health insurance reimbursement ratio is not much difference between the conditions, the residents tend to choose "tertiary hospitals," the residents will be able to choose a "cost-effective" medical services. Will choose "tertiary hospitals", therefore, to solve this kind of problem, we must promote the acute and slow treatment.
4, up and down linkage
The up and down linkage initiative is the construction of the city medical association and county **** the same body, to realize the vertical integration of different levels of health care institutions, change the competition into a synergistic relationship.
Paths to Realize Service Capacity of Primary Care Institutions
There are two paths to realize the service capacity of primary care institutions: the first one is to improve the level of doctors' medical skills, i.e., to increase their income and welfare benefits so that they can earn money; the second one is to improve the The second is to improve the technical level of the facilities and equipment of primary care organizations to be able to solve the problems of diagnosis and treatment of common diseases and rehabilitation of chronic diseases for more grassroots residents.