Big Hospital is in & ldquo; wartime status & rdquo;，Medical staff maintains a high -load labor status for a long time，At the same time，Grassroots medical institutions Menke Ronar & Hellip; & Hellip; Reporter learned，To reverse this pattern，Hierarchical diagnosis and treatment has been established as the first priority of this round of medical reform and the top priority。The Health and Family Planning Commission has recently recommended multi -level hierarchical diagnosis and treatment experience，Over -expansion of large hospitals in various places、Introducing a series of measures to improve the ability of grassroots health services，and will be further promoted。

 

  Experience Health and Family Planning Commission intensive promotion of graded diagnosis and treatment typical

 

  The Health and Family Planning Commission recently held a press conference，Introduction to many local medical reform experience。Conference content display，Hierarchical diagnosis and treatment has become the first key service and the top priority in this round of medical reform，and a number of typical and highlights in practical exploration。

 

   & ldquo; Internet+Medical & RDQUO; It is the popular vocabulary of the current pharmaceutical industry，Sichuan Province with the help of the Internet，launched & ldquo; Build a platform，Establish two centers，Constructing a three -system & rdquo; solution，Remote diagnosis and treatment、Slow disease management，All becoming the entry point of the Internet combined with class diagnosis and treatment。

 

  According to the person in charge of the Sichuan Provincial Health and Family Planning Commission，& ldquo; A platform & rdquo;，access 350 hospitals，Import 70 million health files、40 million new agricultural argles，Provide more than Stake Sports Betting900,My stake betting app000 sources per month。& ldquo; Two centers & rdquo;、Two provincial Internet medical centers of Huaxi Hospital and Provincial People's Hospital of Sichuan University。& ldquo; Three systems & rdquo;、CA certification system and patient real -name appointment and medical record preservation system。Since September last year，The province's online appointment registration is 4.953 million people，Online payment 1.796 million times，Inspection and inspection results inquiry 3.347 million people，Remote consultation、Image and ECG diagnosis of 827,000 people，Chronic disease management services 132,000 people。

 

  If the Internet can say a city、The medical needs of the province are integrated into a platform，Then the medical consortium is an important way for the hospital to implement the hierarchical diagnosis and treatment。Yan'an City, Shaanxi Province、Muzhong County, Henan Province becomes typical in this area。

 

  Yan'an City with Yan'an University Affiliated Hospital as the General Hospital，Adding city and county public hospitals as branches，Established Yan'an Medical Group。Compared with 2014，The number of outpatients at the General Hospital of 2015、The number of discharges and the number of surgery were reduced by 12.9%respectively、6.52%and 10.3%。The first quarter of 2016，The number of outpatients was 9.8%compared with the same period last year。

 

  Three county -level public hospitals in Muzhong County established counterpart assistance with 13 township -level medical institutions、Coordinated development cooperative relationship，Co -construction collaborative ward，Establish a two -way referral green channel，Provide patients with efficient and fast referral services。More than 13,000 patients referred to county -level medical institutions to county -level medical institutions，3150 patients under the county -level medical institution。

 

  In addition，In the third quarter of this year，The Health and Family Planning Commission has investigated in many places，Chosen Xiamen City, Fujian Province、A batch of hierarchical diagnosis and treatment pilots in Huaian City, Jiangsu Province。

 

  Core hierarchical diagnosis and treatment has been established as & ldquo;

 

  Hierarchical diagnosis and treatment generally refers to the lightness of the disease、Weight、Slow、The degree of difficulty and treatment of treatment，Medical institutions at different levels to undertake the treatment of different diseases。& ldquo; at the grassroots level、Two -way referral、Slowly divide、Links up and down & rdquo; mode，Let some common diseases、The diagnosis and treatment of chronic diseases is diverted at the grassroots hospital，to improve the configuration efficiency of high -quality scarcity medical resources。

 

  stake online sports bettingMy stake betting appIt is understood，Hierarchical diagnosis and treatment is currently identified as the first priority and the top priority of this round of medical reform。According to the medical reform ideas determined at the National Health and Health Conference recently held，Five systems should be built in medical reform，The first is the hierarchical diagnosis and treatment system，The second is the modern pharmaceutical management system，The third is the national medical insurance system，The fourth is the drug supply guarantee system，Fifth is the comprehensive supervision system。

 

  2017 will become a critical time node for the promotion of graded diagnosis and treatment。According to the "Guiding Opinions of the General Office of the State Council on Promoting the Construction of Hierarchical Diagnosis and Treatment System"，2017 hierarchical diagnosis and treatment policy system is gradually improved，The division of labor cooperation mechanism for medical and health institutions basically forms，Slow sinking in an orderly and effective sinking in high -quality medical resources，The amount of task reflected in the core is that the construction of grass -roots medical and health institutions meets the standard rate & GE; 95%，The diagnosis and treatment of grass -roots medical and health institutions accounted for the total diagnosis and treatment amount & GE; 65%。By 2020，Classified diagnosis and treatment service capabilities comprehensively improved，The guarantee mechanism is gradually improved，Forelying layout、Proper scale、Level optimization、Clear responsibility、Completion of the function、The rich and efficient medical service system is basically constructed，The first diagnosis of the grassroots、Two -way referral、Slowly divide、The hierarchical diagnosis and treatment mode of upper and lower linkage is gradually formed，Basically establish a hierarchical diagnosis and treatment system that is in line with national conditions。

 

  The reporter learned，For a long time，Many large hospitals in our country quickly expand，The rainbow effect of medical resources is becoming increasingly obvious。How to strengthen the grassroots，At the same time, a large hospital volume of large hospitals that reduce excessive expansion，Guide high -quality medical talents and patients to double return to the grassroots，There are still many problems to be solved。

 

  According to the "China Medical and Health Division Development Report 2015 & mdash; & mdash; Chinese public hospital reform and development topic" edited by Fang Pengzheng, a professor of Huazhong University of Science and Technology,，Since the new medical reform，Although the number of people at the grassroots level has always accounted for the majority，But the upper speed of the large hospital is faster。2014，stake sports betting appstake betting appThe service ratio of grass -roots medical institutions decreased from 59.1%to 57.4%，and the large hospital rose from 37.5%to 39.1%。Inpatient service，The gap between the large hospital and the grass -roots medical institutions is still expanding。until 2014，The hospitalization volume of the large hospital is nearly four times more than the grass -roots medical institutions。

 

  Sink & ldquo; Strong grassroots & rdquo;

 

  Some medical reform experts believe，Hierarchical diagnosis and treatment system still faces many difficulties in the process of promotion，The most fundamental problem is，The technical level of grass -roots medical institutions is relatively weak，Patients do not trust enough，Affecting the implementation of hierarchical diagnosis and treatment。

 

   & ldquo; The ability of the grassroots level is still a large short board，The next step will make a greater effort to make up for a short board。& rdquo; Wang Yonghong, director of the Jiangsu Provincial Health and Family Planning Commission, said，While further strengthening the construction of grassroots institutions，The next step will be deepened and improved the reform mechanism of grass -roots institutions，Improve service ability，Fully mobilize the enthusiasm of grassroots institutions and personnel。In the hierarchical diagnosis and treatment system，It will fully implement urban integration、County and rural integration reform，Make all grass -roots medical institutions as soon as possible to join the medical consortium，Create a two -way referral green channel。

 

  The purpose of reaching & ldquo; strong grassroots & rdquo;，The grassroots must have a doctor recognized by patients。Liang Wannian, director of the Department of Sports Reform of the Health and Family Planning Commission，This aspect of the construction of medical courses and family doctors will be signed this year，Implement hierarchical diagnosis and treatment。First, the construction of the medical consortium，Stronger the grassroots，Let the people rest assured，The high -quality resources of the large hospital sank to the grassroots。Second, the implementation of a family doctor's contract。& ldquo; The first diagnosis of the grassroots，It is necessary to continue healthy responsibilities、Responsible management，This service mode must be established。& rdquo; He said。

 

  In this field，Internet medical treatment can play a huge role。Proposal in the industry，Introduce relevant policies as soon as possible，Support Internet hospital links to the grass -roots medical structure，Encourage private forces to enter the field of grassroots medical care。At the same time，Increase remote diagnosis and treatment fees of Internet hospitals into medical insurance，Realize online medical insurance payment，Provides favorable conditions for stake betting appStake Sports Bettingthe popularity of Internet hospitals。

 

  Zhu Hengpeng, director of the Public Policy Research Center of the Academy of Social Sciences, told the "Economic Reference News" reporter，60 % of the outpatient clinics of the large hospital does not need to go to the large hospital，Some people can solve the problem with Internet consultation or consultation，This can reduce some patients who blindly go to the Three Hospital to see a doctor。In addition，The number of people who re -consultation to the Three -A Hospital exceeded 60%，A considerable part of it can be cut through the Internet。This is not just helping the people save costs，It also helped the doctor to save a lot of costs，Let them have more time to serve the patients who need them。

 

  In addition，According to the current medical reform thinking，Excessive expansion of the scale of public hospitals will be strictly controlled，Let public hospitals return to this position，It is to do a good job of diagnosis and treatment of incurable diseases，At the same time, the function of the medical center and the talent training center must be responsible for。

 

  At the same time，Accelerate the price adjustment of medical services，The cancellation of the drug bonus & ldquo;，Try to make up for the & ldquo; diversion & rdquo; loss。