1. The scale of general outpatient service in tertiary public hospitals may be further controlled, and the general outpatient service in public hospitals will be undertaken by health institutions with primary medical care.
Some people think that Hainan really started the first shot of gradually canceling the general outpatient service in tertiary public hospitals, and it is also because the medical needs of patients are somewhat special and have their own particularities. Patients want to get safe and secure treatment, so many patients regard top three hospitals as their first choice. Even if there is a gap in the proportion of medical insurance reimbursement, most patients will choose to go to the top three hospitals. Third-level public hospitals also lack the motivation to cancel the general outpatient service, and the health institutions of primary medical care should assume the role of general outpatient service, which can also promote the construction of primary medical care.
2. The general outpatient service in tertiary public hospitals is likely to be cancelled gradually, and the model of graded diagnosis and treatment will be implemented in the future.
Hainan province took the lead in canceling the general outpatient service in tertiary public hospitals, which is also an innovative measure and will play a good leading role in the reform of tertiary hospitals in many areas. However, the current allocation pattern of medical resources needs to be broken, and a series of supporting measures need to be accelerated. However, there is still a long way to go to cancel the general outpatient service in tertiary hospitals in other parts of the country.
In short, the general outpatient service in tertiary public hospitals should be phased out, and at the same time, the service capacity of primary medical care should be improved, so that ordinary people can see common diseases in primary medical institutions first, and then some serious diseases in tertiary hospitals, so as to make good use of our medical resources and continuously promote the deepening reform of our medical level.