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An Analysis Of The Present Situation And Problems Of The Implementation Of The Classification And Treatment System In Huzhou City

Posted on:2018-03-31Degree:MasterType:Thesis
Country:ChinaCandidate:Q Y BaoFull Text:PDF
GTID:2334330518976296Subject:Public administration
Abstract/Summary:PDF Full Text Request
China's grading diagnosis and treatment work is still in the exploratory stage,the development is very uneven around the implementation of the practice of graded clinics around the practice is also different, but the prevalence of grass-roots hospital first diagnosis rigidity,lack of medical institutions,two-way referral collaboration,,The reform of public medical institutions has not yet completed the establishment of hierarchical treatment system, graded diagnosis and treatment by the complex and diversified medical insurance system constraints, classification system within the lack of asset restructuring and management system innovation and other issues. This article is based on this background, to Huzhou City, Zhejiang Province, the first people hospital as an example to study, in-depth digging its existing problems, and make recommendations for improvement.Through the research of this paper, the following conclusions are drawn: The implementation measures of the graded diagnosis and treatment system in our country include: promoting the contracting service of the family doctor, the tertiary hospital gradually reducing the general outpatient service and raising the proportion of the primary health insurance payment. China's implementation of the classification system in the existing problems include: three medical linkage mechanism is not perfect; the implementation of" hierarchical diagnosis and treatment lack of incentives; information technology is backward,health resources sharing more difficult. Huzhou City,the implementation of the main measures include the classification of the implementation of the main measures include: the establishment of grassroots first diagnosis, to promote the construction of hierarchical treatment system; to enhance the grass-roots capacity,consolidate the basis of classification and treatment services; optimize the allocation of resources, improve the classification of medical service system; to achieve information exchange, ; Improve the health insurance system, to build a hierarchical medical insurance system. Huzhou City, the results of the classification of medical treatment, the satisfaction of the system was 54.8%, showing dissatisfaction with 20.5%, indicating that the implementation of the current classification system is not optimistic,there are still some areas need to be improved. Huzhou City, the implementation of hierarchical treatment system problems include: the basic health care institutions are relatively weak,the role of weak health care control, regional medical union did not play its due role,grading diagnosis and treatment mechanism has not yet formed. Huzhou city classification treatment system rationalization measures include: attention to talent and technology, improve grass-roots health service capacity; improve the drug safety mechanism, the appropriate expansion of the scope of supply; standard two-way referral standards and scope; improve the system, Rational planning and control, control the excessive expansion of public hospitals; the development of wisdom and medical care, to achieve information sharing and inspection results mutual recognition;...
Keywords/Search Tags:classification diagnosis and treatment, medical union, health insurance regulation, Huzhou
PDF Full Text Request
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