Exploration On The Practice Of Hierarchical Medical System In Xiamen

In recent years,the establishment of hierarchical medical system has become the top priority of China's medical reform.In order to alleviate the problem of getting proper health care in difficult and expensive way,the state has required accelerating the establishment of scientific and rational hierarchical medical system in a number of meetings and documents.The establishment of hierarchical medical system has reached common understanding,but there are still differences during specific implementation.At present,there are mainly three modes of hierarchical medical system in different areas:medical alliance mode,family doctor service mode,compulsory medical insurance mode.The objective of this research,which is based on review and integration of the practices of hierarchical medical system both in China and abroad,is to analyse the utilization rate of medical resources after the hierarchical medical system was carried out in Xiamen by clearing framework of police,summarize the policy effect through a numbers of medical operation data.In the mean time,This research also analyze the predisposing factors,reinforcing factors,enabling factors and the problems in the effectiveness of policy implementation and operation through questionnaire and qualitative interview.At the end,the paper puts forward feasible suggestions on diverting patients of 3 basic-level hospitals in effective way and improving the utilization rate of basic medical institutions.