How to solve the "difficult to transfer" problem?

At present, the masses of workers are hotly discussing the difficulty of seeing a doctor, expensive background, recently, the group's head of the General Hospital to explain this, and put forward some solutions. A: This problem carries a certain degree of universality, and we have heard some reflections. Some patients who can be treated in the branch hospitals, but also asked to transfer to the general hospital and foreign hospitals for treatment, for this reason increased the cost of the general hospital in all aspects of the expenditure, the branch hospitals serious losses. In order to curb costs, the main hospital and branch hospitals try not to allow the outflow of patients and health insurance funds. Therefore, as far as possible, branch hospitals restrict transfers to the main hospital, and the main hospital restricts transfers to overseas hospitals. It should be said that since the branches have come under the management of the main hospital, the medical conditions and technical level have improved considerably, and although there have been individual cases of upward and outward mobility of the backbone of the hospital, the level of treatment of general illnesses has never been affected, and surgeries like appendectomy and cholecystectomy can be done in all branches. However, a considerable portion of the medical insurance employees more or less have the idea of "revering the top" in terms of technology, believing that doctors in large hospitals and overseas hospitals have high levels of technology, and try to seek upward and outward transfers. Because of the restrictions on upward transfers from branch hospitals and outward transfers from the main hospital, health insurance employees find it difficult to be transferred to other hospitals. In addition, due to the aging equipment and degradation of the medical environment in the branch hospitals (institutes) caused by the historical legacy, patients are dissatisfied with the treatment methods and hospitalization conditions in the branch hospitals, which is another reason for transferring to other hospitals. A: We can give patients the right to choose outpatient medical care, where health insurance employees with a medical book can go to any hospital or institute within the group company for outpatient treatment, so as to encourage the hospitals and institutes to start the competition for services and improve the service attitude. However, if the unrestricted expansion of the patient's right to choose hospitalization is not very good management, one of the medical insurance and industrial injury hospitalization contracting indicators can not be controlled; the second is to cause overcrowding in higher-level hospitals, hospitals at the lower levels of no one hospitalized, a waste of primary health care resources, not only is not conducive to the development of hospitals, but also not conducive to the headquarters of the General Hospital for the community to participate in the competition for health care institutions. A: 1, the implementation of hierarchical system of responsibility for the General Hospital will provide for all levels of hospital disease technology responsible for the scope of the difficult surgery and can not be clearly diagnosed difficult disease, take to send experts to consult, surgery, special in the specified time limit on the transfer. Increase the various branches of the responsibility system, strengthen the sense of service, improve the concept of service, and actively build a harmonious doctor-patient relationship, to put an end to doctor-patient disputes, as far as possible to make the staff and their families satisfied. 2, carry out technical support headquarters to study the technical support measures for the branch, regularly carry out the branch business training, carry out the guidance of the high degree of surgical procedures, expand the index of receiving branch personnel for further training, and to encourage the branch personnel to self-study and self-testing. In order to improve the technical level of branch hospital medical personnel by all means, and to gain the trust of patients.3. Strengthening the publicity of charges, rational use of medical resources according to the level of hospitals and the "Guizhou Provincial Medical Service Price Standard", strict grading of charges, and increase the publicity, so that health insurance workers understand the rationale of the higher hospitals charging high fees and more personal burden, and understand the benefits of the rational use of medical resources for the majority of patients.4. Developing special In case of emergency and other special circumstances of hospitalization, the accepting hospital must provide timely treatment, and at the same time, the accepting department should notify the branch hospital with jurisdiction of the night emergency within two hours and the following day, and the branch hospital should grant special approval for transfer and bear the corresponding costs. All departments of the General Hospital are not allowed to admit non-emergency medical insurance patients to the next level.