2, to strengthen the construction of primary medical personnel. The key to the success or failure of hierarchical diagnosis and treatment lies in the strength of primary health care technology, primary health care technology directly determines the confidence of residents in hierarchical diagnosis and treatment, so improve primary health care service capacity is the core of hierarchical diagnosis and treatment.
(1) To introduce talents. Medical personnel and responsible doctors and service recipients configuration standards. To be in accordance with the relevant provisions of the Ministry of Health, in the name of the provincial municipal party committee (government) issued a document, issued the relevant staffing standards for primary hospitals, so that the relevant departments at the district level to follow the rules and regulations, according to the number of recruiting, the government should formulate preferential policies for the introduction of grass-roots talent, the outstanding college students directly into the number of the establishment of a special fund for the introduction of talent, and encourage graduates from the medical school to grass-roots work.
(2) To cultivate talents. Provincial and municipal hospitals have the obligation to guide and cultivate grass-roots health talents, to take the initiative to accept the further training of grass-roots hospital talents, the effectiveness of the training of talents in the targeted support hospitals into the provincial and municipal hospitals performance assessment indicators. To establish the grass-roots hospitals and provincial and municipal hospitals talent rotation training mechanism, to narrow the level of grass-roots talent and provincial and municipal talent gap.
(3) to stabilize the talent team. The government should increase investment in the development of preferential treatment policies for grassroots talent, in terms of salary and wages, title promotion, appointment and other aspects of the policy tilt. To strengthen the introduction of talent standardized management, signed a service contract, clear years of service, fulfillment of responsibilities, obligations, and improve the flow of talent constraints constraints mechanism.
(4) to revitalize the multi-faceted use of talent. "Health Medical Development [2001] No. 169, "on the registration of physician practice in the professional scope of the Interim Provisions," mainly township health centers and community health service institutions practicing clinicians, indeed because of the need for work, approved by the county-level health administrative department assessment, reported to the municipal health administrative department for the record, may apply for registration of the same category of up to three specialties as the scope of practice ." According to the spirit of the above content, that is, the community if the general practitioner is not enough, the doctor himself technology with diagnosis and treatment of multiple departments of the ability, units do need when the registration of internal medicine subjects at the same time can also register surgical subjects or other clinical subjects, so that both to solve some of the grass-roots clinicians, but also will not make the doctor has the scope of practice of medicine to avoid getting into unnecessary lawsuits.
(5) Strengthen the higher hospitals to support primary health care organizations. To implement the provincial and municipal hospitals to support grass-roots health policies, to develop support for primary health care work plan, send doctors must have strong guidance grass-roots business work ability, not to go through the motions, not a formality, not to cope with the matter, the provincial and municipal health departments to increase the supervision, assessment, evaluation of the strength of the personnel to the countryside, and constantly improve the quality of the countryside to help improve the level of grass-roots health care technology for effective and rational hierarchical diagnosis and treatment Laying the technical foundation for effective and rational hierarchical diagnosis and treatment.
(6) Implementing changes in the way GPs practice and the mode of service. GPs practice in a variety of ways both outpatient and home to the contracted service users; the implementation of GPs and residents to establish a contractual service relationship with the relevant government departments to standardize the free diagnostic and treatment services and paid diagnostic and treatment services, according to the number of people contracted to collect service fees, standardize the other diagnostic and treatment fees of the GP, the development of the quality of service assessment mechanism for the general practitioner; each family can have their own "contracted GP", which can be used as a service provider, and can also be used as a service provider. Each family can have their own "contracted general practitioner" equivalent to a family doctor, if the first visit to the general practitioner for major illnesses to make an appointment to arrange for hospitalization, minor illnesses contracted general practitioner package treatment, annual fees. Whether or not GPs and residents can establish a good contracted service model can predict how much the public trusts GPs. This is closely related to the ability to do a good job of hierarchical diagnosis and treatment of primary hospitals.