The elimination of regular outpatient clinics and the addition of outpatient specialists, along with an increase in outpatient fees, was initially intended to transform outpatient clinics into primary health care facilities, making it? At the primary level, it is difficult to transfer various diseases to large hospitals.? However, the average person decides whether the disease is a minor or a complex disease? Sichuan is only West China Hospital, in Sichuan, patients like to run to western China, no matter what the disease is, to a large extent, the disease is not clear, always to a large hospital that can give peace of mind.
To eliminate the patient factor, the abolition of routine outpatient clinics also need to consider the capacity of basic medical institutions. As we all know, the current classroom management problems in China's medical institutions have gone beyond standard basic service organizations, with low levels of resource allocation. Without good doctors and advanced equipment, patients don't trust primary health care, and basic medical institutions can't retain patients, so the policy of simple large hospitals to cancel outpatient clinics is rude, which will bring more uncomfortable patients. In the final analysis, the abolition of routine outpatient clinics needs to be combined with reality, and this cannot be rushed. In order to realize the abolition of outpatient clinics in large hospitals, the key is ? A strong foundation? , or even many human primary care organizations, planning, staff qualifications, and ability to serve patients are up to the task of transformation. At the same time, through a rational mechanism to encourage primary care specialists, and in hospitals to train doctors at a lower level, but it is clear that the road is long and arduous.
The elimination of outpatient clinics has become a trend that cannot be implemented or bring any benefits or inconveniences that are not currently visible, but the stability will show whether this approach is correct. In the past two years, the country's tertiary hospitals mass de-registration, emergencies are not fully designated. If all on-site releases are eliminated in Beijing hospitals by the end of 2016, we could see a general trend toward eliminating registration windows in large hospitals, but I didn't think that day would come soon. The plan calls for an appointment system from the start. Tertiary hospitals to increase the booking rate of medical services, vigorously implement the division of time for diagnosis and treatment appointments, focusing on booking examinations and tests, booking a minute to an hour. Tertiary hospitals prioritize the medical alliance of basic medical institutions, booking source number.
Patients with appointments or referrals should be prioritized for medical treatment prior to examination, prior to admission, and at a basic level to guide the first referral and two-way referral. Before the implementation of registration windows in large hospitals, overcrowding was the main reason why most patients came to the hospitals for common ailments. However, more than three hospitals have eliminated routine outpatient care, and many minor illnesses in large hospitals are not accepted in mass hospitals. Only tertiary care hospitals provide services in severe emergencies and complex diseases, so a large number of hospitals will be significantly reduced It is worth noting that the booking system can be fully implemented.