Current Situation And Countermeasures Of Hierarchical Diagnosis And Treatment In Public Hospitals

"Difficult to see a doctor,expensive" is actually a false proposition,because if residents go to the grassroots medical institutions to see a doctor,it is not difficult nor expensive,the essence of this sentence is talking about large hospitals,difficult and expensive to see.At present,the residents mainly have great demand for medical services in large hospitals,which seriously exceeds the supply of large hospitals,resulting in unequal situation.The residents' leapfrog diagnosis and treatment behavior is an important reason for this phenomenon.In this situation,the long-term stalemate can not be solved,the implementation of hierarchical diagnosis and treatment can alleviate this,and can revitalize the three level medical service system,so that the whole society medical and health industry has been benign development.With the gradual deepening of the reform,the establishment of clinics grading system has been imminent,but due to the top-level design system at this stage is not perfect and other reasons,classification of diagnosis and treatment to achieve substantive progress,the need to further explore the implementation of grading treatment system.As the main body of national public health medical institutions,public hospitals are the main departments responsible for the reform of hierarchical medical treatment system.This article from the political science,public economics,government economics and other disciplines from the perspective of problem analysis,points out that there are two factors of market failure and government failure in China's medical reform,and ignore the laws of economic development in the reform,the demand for medical services have differences and other factors led to the medical reform is not successful.In the children's Hospital of Hebei Province as an example,analyzes the current status of the implementation of grading cooperation clinics and grassroots first diagnosed degree low,two-way referral is not smooth,the drug scope inconsistent,doctors can not be free to practice and conjoined members of the five different problems,how to better promote the classification the diagnosis and treatment of the implementation,put forward feasible countermeasures,the dissertation attempts to research problems.Through the analysis and reference of advanced foreign experience and in-depth research,finally,from strengthening the construction of basic medical service system to strengthen the grading treatment propaganda,improve the basic drug system,improve the medical practice and medical conjoined advocate government,the introduction of intermediate organization five aspects to provide advice.For in the field of medical service,and identify the government and market both a division of labor,give full play to the advantages of government and market in the public service,the rational allocation of medical resources,balance the interests of all sectors,improve the efficiency of the investment does not substantially increase the situation,to ensure the basic medical security,achieve the purpose of improving the quality of medical service.