Optimize The Basic Medical Insurance System To Promote Graded Diagnosis And Treatment

At present,with the gradual improvement of the national medical insurance system and the deepening of the medical reform,the demand for medical treatment of the masses is constantly released,while the medical resources are increasingly converging to the higher medical institutions.The medical system presents an "inverted pyramid" shape,and the phenomenon of "difficult and expensive medical treatment" still exists,which needs to be solved.In the current medical environment,the medical insurance system has become an effective tool to adjust the interest relationship of all levels of medical service institutions and promote the realization of hierarchical diagnosis and treatment system through its economic leverage in medical and health services.This paper analyzes the logical relationship between medical insurance system and hierarchical diagnosis and treatment in a city,summarizes and analyzes the research results of the relationship between medical insurance and hierarchical diagnosis and treatment at home and abroad by using the literature research method,analyzes the current situation and obstacles of the implementation of hierarchical diagnosis and treatment in a city by using the questionnaire survey method and statistical analysis method,and points out the shortcomings of the basic medical insurance system in promoting hierarchical diagnosis and treatment According to the effect of the medical insurance system in the mode of hierarchical diagnosis and treatment in city a,this paper puts forward feasible optimization strategies and suggestions.Based on the theoretical analysis and the analysis of the questionnaire results,combined with the actual situation of city A,this paper analyzes the existing problems in the current medical insurance system promoting graded diagnosis and treatment.(2)the construction of the medical insurance system is not enough to regulate the medical "supplier";(3)there is no mandatory system design for graded diagnosis and treatment in medical insurance;(4)low social responsiveness in the process of system implementation.In view of these problems,the author puts forward some Suggestions on optimizing the medical insurance system to promote graded diagnosis and treatment.(2)improve the payment system of medical insurance to medical institutions;(3)strengthening the coercive power of the medical insurance system;(4)improve the social responsiveness of system implementation.It is hoped that these optimization strategies can give full play to the economic leverage role of the medical insurance system,reposition the role of medical insurance in the medical and health system,improve the medical insurance system suitable for the construction of hierarchical diagnosis and treatment,and make it an effective tool to balance the medical resources and patient resources of medical institutions at all levels.