Medical * * * refers to the government's guidance, the county-level hospitals taking the lead, and the linkage of medical and health institutions at the county, township and village levels. Promote the new medical form of first diagnosis, two-way referral, rapid and slow division and treatment, and linkage up and down, and promote the grading diagnosis and treatment system. Operate as a medical group. The main features are two aspects: 1, the integration of people and property (organizational structure reset, breaking the fragmentation pattern); 2, medical insurance contract (medical insurance quota payment, balance retained).
"It is difficult, annoying and expensive to see a doctor". The big hospital is overcrowded and the small hospital is empty. I believe that everyone who has been to the hospital has a deep understanding. The contradiction between the inadequate and unbalanced development of medical resources in China and the growing health needs of the people is one of the main reasons for this situation.
Balancing medical resources and opening up new ideas
According to statistics, there are 930,000 grass-roots medical and health institutions in China, accounting for 95% of the whole medical and health system, covering community health service centers (stations), township (street) hospitals, village clinics and outpatient departments (institutes). Primary medical care is closest to the people, and the real medical needs are at the grassroots level. Medical resources must be redistributed and tilted to the grassroots to achieve the goal of medical reform of equalization of basic medical services.
With the deepening of medical reform in China, strengthening the grassroots has become the core issue of medical reform, and establishing a graded diagnosis and treatment system is one of the key tasks to strengthen the grassroots, and it is also an important starting point to alleviate the people's "difficult and expensive medical treatment".
First diagnosis at the grass-roots level, two-way referral, rapid and slow division and treatment, and up-and-down linkage are the connotations of graded diagnosis and treatment, and they are also important contents of current medical reform in China. How to promote the realization of graded diagnosis and treatment?
Relevant policies
In 20 17, the Guiding Opinions on Promoting the Construction and Development of Medical Consortium issued by the General Office of the State Council clearly pointed out that it is necessary to comprehensively promote the construction of medical consortia, form a relatively perfect policy system of medical consortia, integrate the services, responsibilities, interests and management of medical consortia, effectively enjoy the medical resources in the region, further improve the service capacity of grassroots units, and vigorously promote the formation of first consultation and two-way referral at grassroots units.