Difficulties And Countermeasures Grading Policy Diffusion Process Of Diagnosis And Treatment

With the continuous development of China’s economy,people have higher and higher requirements for service quality in the field of public health care,especially with the deepening of public health care service reform,building a new type of medical care service system has attracted much attention.In order to continuously meet people’s demand for public medical and health services,and solve the problem of irrational resource allocation,China has proposed a hierarchical diagnosis and treatment policy.The purpose of implementing the hierarchical diagnosis and treatment policy is mainly to improve the quality of medical and health services and ease the problem of medical treatment.In recent years,China ’s grading diagnosis and treatment policy has achieved certain results,and the capacity of primary medical services has steadily improved.The primary consultation at the primary level,the two-way referral momentum is good,and the flow of talents is more active.The policy of graded diagnosis and treatment has spread a long way.In the study of the policy diffusion of graded diagnosis and treatment,this study finds that the current policy diffusion faces three dilemmas: the dilemma of the weak primary health care system,the dilemma of the two-way referral and the first consultation at the grassroots level,and the dilemma of the main contradictions in the interests of policy diffusion subjects.The analysis found that the main causes of the three dilemmas are: the lack of primary medical resources leading to a weak medical system,the traditional concept of medical treatment and single policy tools leading to difficulties in referrals and first consultations,and target deviations leading to the contradiction in the interests of policy subjects.Aiming at the three dilemmas faced by the grading diagnosis and treatment policy diffusion process,effectively drawing on the foreign grading diagnosis and treatment policy diffusion practice experience,and summarizing the following optimization paths:First,basic-level medical and health services should establish and improve the basic-level health service system,broaden the construction of basic-level GPs and flexibly allocate Income,enhance the enthusiasm of grassroots general practitioners,and reform the grassroots medical and health management mechanism;secondly,we should improve safeguards to promote the smooth diffusion of graded diagnosis and treatment policies,formulate sound referral standards,use multiple policy tools to increase the rate of primary consultations,and build medical care Service information sharing platform;Finally,local governments should continue to balance the interests of all parties,strengthen communication between medical and health institutions at all levels,coordinate the interests of both parties,achieve a balance between self-interest needs and public welfare needs,and realize the demand for medical services and the grassroots.Balance between the provision of medical services.