| The implementation of the hierarchical diagnosis and treatment policy aims to relieve the pressure of "overcrowding" in large hospitals,increase the treatment rate of patients at the grass-roots level,establish a new medical order,and promote the formation of a good medical pattern of "small diseases into the community and large diseases into the hospital".However,since the implementation of the hierarchical diagnosis and treatment policy,there are still some residents who are not willing to choose the primary medical institutions or choose the primary medical institutions with a low number of visits,and the effect of the primary medical institutions is not obvious.In this study,Jiujiang City,which is a pilot city of hierarchical diagnosis and treatment,is taken as the survey area.Through questionnaire survey and statistical analysis,the cognition of different characteristics of the population to the primary diagnosis system and the choice of medical and health institutions in different situations are studied and analyzed,so as to comprehensively analyze the service ability of residents to the primary medical and health service institutions and the implementation of the primary diagnosis system The evaluation of the implementation conditions and the recognition of the hierarchical diagnosis and treatment,and the analysis of the residents’ acceptance of the primary diagnosis and treatment system at the grass-roots level and the influencing factors,so as to provide an effective decision basis for the formulation of the relevant medical and health policies,are conducive to the targeted improvement of the service quality and service level of the primary medical and health institutions,and promote the implementation of the hierarchical diagnosis and treatment system.From the perspective of residents’ participation in hierarchical diagnosis and treatment,this paper investigates and studies the patients’ medical behaviors under the specific policy background,focusing on the study and analysis of residents’ willingness,actual implementation and influencing factors for the first diagnosis at the grass-roots level,and puts forward corresponding countermeasures for improving the hierarchical diagnosis and treatment system and promoting the first diagnosis at the grass-roots level,which has certain practical significance for promoting the first diagnosis at the grass-roots level and the rationalization of the allocation of medical and health resources Righteousness. |