| The purpose of hierarchical diagnosis and treatment is to form a primary diagnosis,two-way referral,urgent and slow diagnosis and treatment order,and the medical association is the foundation and key to promote the development of grading diagnosis and treatment.Medical consortia refers to regional medical consortia,which integrate medical resources within the same region,usually by level III and level II hospitals in one region.A medical union of primary medical institutions and other different types of medical institutions.The construction of medical consortia makes clear the responsibility of medical institutions at all levels,and solves the problem of "difficult to see a doctor" for the common people in the form of two-way referrals.That is,the patient carries out the first visit in the primary medical institution,if any Referrals need to be referred to a higher hospital step by step,and then transferred to a primary hospital for treatment when the patient's condition is stable or in a recovery period.The "gatekeeper" in foreign countries is similar to the primary diagnosis in our country,that is,the patient must go through the first visit of the family doctor before deciding whether to turn to the specialized hospital for diagnosis and treatment,and the family doctor is the "gatekeeper" of the residents' health.The primary medical institutions in our country play the role of "gatekeeper".The primary medical institutions should be able to diagnose and treat common diseases,make referrals to acute and severe patients,and rehabilitate and nurse the patients during the recovery period,so as to promote the formation of a reasonable order of diagnosis and treatment.It can be seen that the primary medical equipment The structure plays the role of "catch" and "catch" in the process of the operation of the medical association."receive" mainly means that the primary doctors can make correct and reasonable diagnosis and treatment of the patient's condition when the first diagnosis is made at the grass-roots level."catch" means that when a patient returns to the primary level for rehabilitation after receiving treatment in a higher hospital,the primary medical institution can provide the necessary medical services for the patient.It is not difficult to see that in the operation of the medical association,primary medical institutions bear the responsibilities of the first diagnosis and rehabilitation and nursing of the patients in the early stage,and at the same time they also shoulder the important responsibilities of preventive health care and contract services above the family level.Is an important part of the operation of the medical union.The cornerstone.But the reality shows that under the background of medical association,there are a series of problems such as the low ability of medical service,the shortage of rehabilitation resources,the excessive scope of nursing care,the unbalanced development of family doctors' contract,and so on.It affects the operation of medical consortia.This article starts with the functional orientation of the primary medical institution under the background of the medical association,and on the basis of analyzing the problems existing in the prevention,medical treatment,rehabilitation,nursing and the contract service of the family doctor in the primary medical institution in an all-round way,This paper probes into the root causes of the problems,system problems and ideological constraints,and further puts forward countermeasures to improve the service capacity of primary medical institutions from three aspects: higher-level hospitals,primary medical institutions and relevant government departments.Finally,this paper puts forward the way of "demialization" and "marketization" of medical institutions,in order to promote the promotion of service ability of primary medical institutions,promote the development of medical association,and contribute to the cause of grading diagnosis and treatment. |
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