Study On The Status Quo And Countermeasures Of Graded Diagnosis And Treatment In Second-level General Hospitals

In order to alleviate the phenomenon of “difficult and expensive to see a doctor” in my country,and to improve the phenomenon of insufficient utilization of primary-level medical resources,my country actively explores a model of graded diagnosis and treatment.The second-level general hospital is located between the third-level hospital and the primary-level medical institution,and plays a role in inheriting and inspiring the medical system.In the context of deepening medical reform and advancing the construction of a healthy China,the status quo and problems of the implementation of the graded diagnosis and treatment system in secondary general hospitals urgently need to be studied.This paper takes Xi’an Second Comprehensive X Hospital as a research case,sorts and analyzes the relevant policy and system documents issued by the official government information platform,and conducts questionnaires from the perspective of medical staff and residents based on the theory of collaboration.The current status of the implementation of the graded diagnosis and treatment system in the second-level general hospitals was analyzed in four aspects: "first-level consultation at the grassroots level,two-way referral,rapid division of treatment,and up and down linkage.It was found that the implementation of the grading diagnosis and treatment system in the second-level general hospitals had the problems of weak grassroots service capacity,imperfect two-way referral mechanism,inadequate and rapid division and treatment measures,and unsmooth linkage management.Based on the results of this study,this article puts forward targeted countermeasures and suggestions.Specifically,in strengthening the capacity of primary diagnosis at the grassroots level,it is necessary to strengthen the cultivation of grassroots personnel,strengthen basic medical facilities at the grassroots level,and encourage contracting with family doctors;in terms of standardizing the two-way referral process,it is necessary to refine and simplify the referral process and establish a complete medical care Insurance system,setting up a two-way referral management institution;in implementing the principle of rapid division of treatment,it is necessary to increase publicity and change medical treatment habits,do a good job in positioning,and build a sound medical system;in terms of improving the up-down linkage mechanism,it is necessary to improve regional medical information Build and improve the internal collaboration mechanism of the medical consortium and implement the sharing of medical resources within the framework of the medical consortium.