| Hierarchical diagnosis and treatment refers to the cooperation among medical institutions to optimize the allocation of medical resources,improve the flow of medical treatment to residents,and gradually form a new medical treatment order of primary diagnosis,grade-by-level triage and up-down referral.Community medical service is the primary link to ensure the health needs of residents.With the acceleration of urbanization and aging in China,the number of patients with chronic diseases such as hypertension and diabetes increases year by year,and the demand for community medical and health services also increases.In recent years,Zhenjiang has vigorously promoted hierarchical diagnosis and treatment.Promoted the sinking of local medical and health resources and provided management and technical assistance to grassroots medical and health institutions between two major medical institutions in jiangbin and Kangfu.General secretary xi Jinping promoted this to the whole country.The development of grasstoots medical and health institution is the basis for the implementation of hierarchical diagnosis and treatment.It is necessary to solve the problem of improving the service capacity of grasstoots medical and health institutions,standardize the management of grasstoots medical and health institutions,improve residents’ experience in seeking medical treatment,and improve service quality,to meet the health needs of the population.This article will grassroots health institutions service ability of Zhenjiang as the researchobject.The integrated use of data collection,literature investigation,interview,medical service system theory and stakeholder theory.Fully understand the status quo of service capacity of grassroots medical and health institutions in Zhenjiang city,including service policy support,service resource allocation,and service performance and output.Connecting with the residents of grassroots health institutions service satisfaction survey,from the government,hospitals,grassroots medical and health institutions,doctors,residents,and other stakeholders.Concluded that Zhenjiang main problems of grassroots health institutions service capacity,.It includes unsmooth referral from top to bottom,weak talent team,residents’ fixed concept of medical treatment and imperfect supporting facilities.The main causes of these problems are lack of linkage mechanism,imperfect personnel incentive mechanism,insufficient guidance and propaganda and unbalanced government investment.Learn from Britain,the United States,Germany,and Japan’s primary service experience.In view of the existing problems,and put forward the hierarchical diagnosis and treatment of Zhenjiang grassroots health institutions service capacity promotion countermeasures: strengthen the construction of talent team,improve the construction of medical and health institutions,establish an effective guarantee mechanism and promote the health information construction and so on. |