1, implement graded medical care and two-way referral system, establish an effective three-level medical network, and provide quality medical services for the masses.
"Two-way referral" is a good choice to solve the problem of "more patients in big hospitals and fewer doctors in community hospitals". "Two-way referral" is a patient referral model among central hospitals, community hospitals and township hospitals. After the patients were first diagnosed in the community hospital, the patients who could not be treated were referred to the central hospital for treatment. After receiving treatment in the central hospital, the patient was transferred back to the community hospital for rehabilitation. This can reduce the pressure of outpatient service in large hospitals and reduce medical costs. Coupled with the new rural cooperative medical system, it is expected to alleviate or even solve the problem of "expensive medical treatment" for farmers.
Government departments should introduce the "two-way referral" standard, refine the process, and guide and help difficult and severe patients to be referred to appropriate hospitals and departments in time. Follow-up and rehabilitation care will be given to patients transferred back to the community to guide the whole society to gradually form a medical treatment pattern of "serious illness entering the hospital, minor illness entering the community, and rehabilitation returning to the community".
In central cities such as Haikou, primary medical service institutions are becoming more and more popular. The difficulty of seeing a doctor lies in the difficulty of seeing a serious illness and entering a large hospital. Zhu Chen, Minister of Health, once called for: "Let doctors become freelancers, let good doctors flow", and let "good doctors flow" may be a good reform idea.
2. Encourage and mobilize social forces to participate in the development of medical and health undertakings and strengthen the supervision of private hospitals.
The government should encourage social capital to donate or invest in medical institutions and determine the ways and means of legal donation and investment. Give policy encouragement to private capital to invest in medical institutions, standardize management and unify policies and platforms. It is necessary to adhere to the direction of "public hospitals are the main force and private hospitals are the new force" and realize the resource sharing between public and private hospitals in the same area.
Private hospitals have problems such as poor supervision. Government departments issue access cards to private hospitals, effectively manage and supervise their daily operations, and prevent false propaganda and high incidence of medical accidents in private hospitals.
3. Innovate the investment mode and implement the medical equipment rental system.
Medical equipment is the main input of township hospitals and community medical institutions, even if it is purchased, the utilization rate is not high. Carrying out the medical equipment rental system is an effective way to solve this problem.
The government should establish the bidding system for renting equipment in public medical institutions, establish the ownership transfer system, quickly improve the service conditions of primary medical institutions and improve the rural medical and health system.
4. Strengthen the training of medical personnel and improve the level of primary medical services.
The professional level of primary medical staff is the key to improve the rural medical and health service system and the necessary condition for implementing "two-way referral". Only in this way can farmers be guided to seek medical treatment nearby, and only then can they have the conditions and ability to receive rehabilitation patients transferred from central hospitals and smooth the "two-way referral" channel. Therefore, it is necessary to strengthen the training of medical staff in township hospitals and village health stations and improve the level of primary medical services.
5. Strengthen the self-discipline and supervision of the medical and health industry.
Formulate self-discipline norms of medical institutions, strengthen social supervision, and improve the internal management system of hospitals. The formulation and implementation of scientific disease diagnosis and treatment process and two-way referral operation process can not only ensure that minor diseases are at the grassroots level, but also try to avoid serious diseases being delayed at the grassroots level, thus reducing medical risks and unnecessary repeated examinations.
It is difficult and expensive to see a doctor, which is related to whether the society is fair and just and to the people's trust in the government. We believe that through the joint efforts of all government departments, in the near future, a medical and health system will be established that is conducive to people's timely medical treatment, safe medication and reasonable burden, and will play its due role in building a harmonious society.