Study On The Difficulties And Countermeasures Of Implementing Classified Diagnosis And Treatment In Hunan

The new round of medical and health system reform has been carried out in China for nearly 8 years.Although significant stage results have been achieved,the problem of "difficult medical care and expensive medical care" is still not fundamentally relieved.It is regarded as a major measure to break through the bottleneck of medical reform by guiding the medical mode of "small diseases at the grass-roots level,the big disease entering the hospital and returning to the community",promoting the close contact between the upper and lower medical institutions and alleviating the relationship between the medical institutions and the patients.Therefore,it is imperative to explore the establishment of a hierarchical diagnosis and treatment system suitable for China’s national conditions.Many provinces and cities in China have carried out the pilot work of grading diagnosis and treatment,and have achieved certain stage results.Although Hunan started late,it is also actively exploring the classification system suitable for the province.This study takes the hierarchical diagnosis and treatment system carried out in Hunan as the research object,first consulting related literature to sum up,comparing the excellent experience at home and abroad.Secondly,through the implementation of the implementation of the classification of Hunan province since the implementation of data collection and consolidation and further statistical analysis of the implementation of the classification of Hunan Province The present situation of the treatment is described.Finally,based on the data obtained from the empirical study,the relevant theories of public policy implementation in the public management discipline are used as the theoretical basis to study a series of problems and the deep reasons of the current Hunan province since the implementation of the policy of grading diagnosis and treatment.On the basis of this,a needle is put forward.Suggestions for sex.It will provide some reference value for government departments to carry out grading diagnosis and treatment.Based on the analysis of this paper,the following results are obtained from the statistical bulletin on the development of health and family planning in Hunan province in recent years: the growth rate of large medical institutions in Hunan is accelerated and the overall growth range is rising.At the same time,the number of beds in large public hospitals is also increasing,and the growth rate is obviously accelerating.Large public hospitals are still expanding.In sharp contrast,the number of primary medical institutions has decreased and the number of beds has increased.In terms of the number of health technicians,the growth rate of primary health care institutions is significantly lower than that of large public hospitals.According to the data obtained by the questionnaire,the obstacle factors affecting the implementation of classification diagnosis and treatment in Hunan province were summed up.The obstacle factors that obstruct the implementation of classification diagnosis and treatment in Hunan province were divided into four aspects,which were patient factors,basic medical institutions,hospital factors and policy factors.In order to accelerate the construction of the classification diagnosis and treatment system in Hunan Province,a reasonable and orderly process of referral should be formed in the short term,the operation process is set up,the constraint mechanism and incentive mechanism of referral are set up,and the detailed standards and indexes of various referral are set up.In the long run,it is necessary to improve the unbalanced distribution of medical resources in our country,to improve the service ability at the grass-roots level,and to lay a good foundation for the long-term and benign operation of the classification system.