Two-way referral is a grassroots community medical institution and its medical institutions at the next higher level between patient and convert orderly flow management system, between the hospitals and community health service center, implement the ailment in the community, a serious illness to the hospital, rehabilitation back to the community medical service mode. Two-way referral can bypass patients, greatly reducing the pressure of big hospital medical services and effective distribution scope of the doctor’s treatment, can also guide the reasonable treatment, reduce the residents’ medical expenses, ease the doctor-patient relationship. In March 2006, since the policy of "two-way referral" in Wuhan city on a trial basis, several 3 armor hospital at a lower level hospitals and community health service center and signed a "two-way referral" agreement, and benefit to cover rural new farming and two-way referral policy at the same time, also made some achievements in the field of medical resources integration. However, large public hospital medical resources still occupy absolute advantage, and a lot of community health service centers, especially institutes in rural areas still exist a lot of resources scarcity.Based on the social situation in Wuhan city, the response country the trend of developing community health service, grasp the "government to undertake a basic medical and public health" of Wuhan city medical two-way referral through literature research and social investigation methods were investigated, such as found in the investigation and analysis of obstacles exist two-way diagnosis and treatment, to explore the path of developing two-way referral in Wuhan. Introduce the situation of the implementation of the two-way diagnosis and treatment in Wuhan city, this paper discusses the medical resources, and two-way diagnosis and treatment of such realistic problems as development bottlenecks. Furthermore, discusses the improvement project of two-way referral resources integration in Wuhan, the hope can from expanding health insurance coverage, the two-way diagnosis and propaganda, coordination of health resource allocation, strengthen community doctors technology develop salary increase, etc., and build the necessary two-way referral form a complete set of safeguard mechanism, hope can be helpful to promote the development of Wuhan two-way diagnosis and treatment. |