Current Situation And Strategies Of Hierarchial Medical System In The Upper First-class Hospitals

Based on the opinion on the implementation of the setting up hierarchical medical system of H City in Hebei Province,this paper analyzes the situation of the implementation of hierarchical medical system in four upper first-class hospitals in H city.By analyzing the documents and on site investigation,this paper analyzes the medical resources distribution of H city,as well as four upper first-class hospitals` medical service capacity,functional positioning,two-way referral situation,the situation of NCMS` deductible and reimbursement,through the analysis of H City`s medical resources to clear the overall distribution of medical resources,and this paper further analysis the situation of the implementation of hierarchical medical system at upper first-class hospital.H City has promoted hierarchical medical system more than two years,although the implementation of hierarchical medical system at the upper first-class hospitals has effect,it also causes many problems.A detailed analysis was made on the problems in the implementation of hierarchical medical the upper first-class hospital,the author put forward the conception three level medical service circle in the construction of hierarchical medical service system,realized the reasonable allocation of medical resources and realized the medical service of accessibility and balance;the author also put forward the specific content of the training methods and the remuneration package for the cultivation of all kinds of doctors;besides,the content of health records management and information sharing and so on in the information construction and other aspects.In the hierarchical medical security mechanism to improve the classification of disease to achieve division of labor and cooperation,and learn from the advanced methods of foreign medical insurance combined with national conditions to let hierarchical medical develop in the upper first-class hospitals of H City well.