Investigation And Study On The Implementation Status Of The Grading Diagnosis And Treatment System In Yunnan Province

In recent years,the classification of diagnosis and treatment is regarded as to alleviate "see a doctor difficult","cost" of an effective way.Across the country actively carry out classification diagnosis and treatment work,lay a foundation for formation and orderly pattern for medical treatment.But the grassroots medical demand has increased dramatically and grass-roots lack of high-quality medical resources.Reconstruction of medical service system,pay attention to the development of the basic medical institutions,scientific allocation of medical resources,the maximum to meet the medical needs of the masses,maximize the realization of fairness and efficiency of give attention to two or morethings targets.In this paper,through literature research,combining with public goods supply theory,system theory,and theory of social division of labor,the villagers of luoping county township three sampling household survey,and the county health bureau leadership and village clinics,head of the interview,according to the results of the survey and the interview result analysis luoping grading system problems and influencing factors.At present,new farming and low awareness of classification diagnosis and treatment,mistrust of grassroots medical institutions and the degree of satisfaction is not high.Grassroots medical institutions of medical equipment is obsolete,and medical personnel service consciousness is not strong.Stay in the form of hierarchical diagnosis and treatment,the high level hospital are reluctant to turn out,patients don't want to return,basic-level hospitals are unable phenomenon.Rural doctors less subsidies,medical workload big,heavy task,they take a lot of medical risk.There is no uniform standard and the referral process,makes the welter of medical institutions at all levels,and referral.Medical institutions at all levels between the division of labor is not clear,compete,and using medical resources are not science.These objective factors unfavorable to push at the grassroots level classification diagnosis and treatment.By means of hierarchical diagnosis model representative countries and regions at home and abroad analysis comparison,and combined with the actual situation of the local health undertaking development,find out reference for luoping draw lessons from the advanced experience.Grassroots medical institutions to promote medical service ability and management level,training more GP and rural doctors and encourage them to learn to use new medical technology.County-level hospitals completes the function orientation,long-term support,support grass-roots hospitals,to do not belong to the scope of its diagnosis and treatment of disease after simple treatment back at the grass-roots level hospital.People should actively learn medical knowledge,actively change ideas,trust and support of grassroots hospitals.The government through the news,newspapers,radio,and other people familiar with the channel grading system of diagnosis and treatment and health knowledge propaganda;Supervision and guidance to medical buyer,disclosing party;Encourage and support social do medical and social medical institutions for medical security and medical price monitoring.Hierarchical diagnosis system was introduced from around according to the local actual situation,to carry out the need to develop complementary medical policy,arouse the enthusiasm of all sides,the division of responsibilities clear,adjust measures to local conditions slow progress.