Level one. No matter the introduction of graded diagnosis and treatment or the establishment of medical association, the top three hospitals cannot be turned into large hospitals. The reason is that the foundation can't sink except for the doctor resources that have been repeatedly discussed.
In addition to the lack of scientific research soil and incomplete drug list, there has been a lack of general clinics with unified brands and excellent services in the market, which is a very important reason.
The root cause of most patients' minor illnesses is distrust of primary medical services, and the reason of distrust is that there are no good doctors in primary medical institutions. But after careful analysis, minor ailments really need the best doctors.
Look, the answer is obviously not. Going to a big hospital is often diagnosed by a general doctor. But why do primary medical institutions eventually become places where the elderly prescribe drugs, rather than really becoming gatekeepers of the medical system?
In the past five years, the government has introduced many primary medical measures, from graded diagnosis and treatment to medical association, hoping that large hospitals can promote the development of small hospitals. But it turns out that these measures have not promoted the development of primary health care.
Exhibition, even because of other policies (such as separation of medicine) caused the reflux phenomenon. Whether it is graded diagnosis and treatment or medical association, the fundamental starting point is to strengthen primary medical care. But the patient voted with his feet, and he was still ill.
Directly into the top three.
In this case, it is necessary to re-examine the idea of reform. To solve the people's distrust of grassroots doctors, it is impossible to solve the fundamental problem by practicing more by famous doctors, nor can we expect doctors from top three hospitals to go to the community voluntarily.
Hospital work. For most minor illnesses, doctors don't need high technical ability, but they can have a good service attitude and a standardized diagnosis and treatment system. Primary health care can be re-established through the service and standardization system.
Brand image. At present, all kinds of primary medical institutions are very scattered and there is no unified brand, which seriously hinders patients' cognition of primary medical care. The government can reverse the thinking of the medical association and put all primary medical care in one area.
Merge all institutions to form a unified chain brand medical institution, introduce external capital to improve the hardware and talent problems of primary medical care, form a unified service and diagnosis and treatment system standard, and strengthen the training of primary doctors.
Through the above means, primary health care can form a joint force. This can not only build a unified chain brand, strengthen internal control, but also gain a dominant position in drug procurement and cooperation with public tertiary hospitals. Moreover, for regional chain brands with good operating conditions, cross-regional strategic cooperation and acquisition can be carried out to form national or large-scale regional brands and further strengthen primary health care.
Of course, with the promotion of mixed reform, the addition of social capital will greatly promote the development of such brand chain medical institutions. Furthermore, with the advancement of medical reform, a large number of private and foreign investors will directly enter this field for self-diagnosis.
This institution competes with public primary health care institutions. In the face of private clinics with better management ability and service system, a single public primary medical institution is obviously unable to compete with it. This also means that the development of primary health care will be more.
Difficult. Therefore, merging primary health care is also an effective self-help measure on the eve of reform.
With the advancement of separation of medicine, as long as large hospitals really separate pharmacies from hospitals, the problem of incomplete catalogues of primary medical drugs will no longer exist. Even in the current situation, primary health care can be passed
Cooperate with large chain pharmacies to enhance drug varieties. Only by establishing a standardized system of service and overall diagnosis and treatment can chain brands drive the current primary medical care out of the predicament. But for communities accustomed to single management,
For hospitals, the challenge is great, and introducing social capital and high-quality management team may be one way. In addition, rationalizing the internal personnel system of primary health care will also face many problems.
Generally speaking, this operation is not easy, but since primary health care has reached the point where it must undergo major changes to survive and develop, such changes are still worth a try.