The Research On Difficulty And Countermeasure Of Establishment Of Hierarchical Medical System In Gaoming

Chinese new health care reform began to implement in 2009,focusing on the base.In the propulsion process,all kinds of resources including medical and health resources became an urban concentration with the advancement of urbanization.Although the basic medical service improved increasingly,hospitals comes to be overwhelmed while the business of basic medical institutions went worse.To solve this problem,the hierarchical medical system implemented from the national level.The national health and family planning commission has a high hope for the system,with "the successful day of hierarchical medical system is the day of the success of the new health care reform"On the basis of a lot of related literature,this paper takes Gaoming for example,which is a medium-sized pearl river delta city in Foshan,Guangdong province.With the comprehensive use of various research methods,the local hierarchical medical situation was analyzed,including the current situation,problems and development countermeasure.In addition to the epilogue,the thesis is divided into 6 parts.Part 1 is an introduction.It’s mainly to elaborate topic selection basis,research purpose,method and content.The emphases,difficulties and innovation points of this paper and the innovation points are also discussed in this paper.In Part 2,it defines Hierarchical medical,hierarchical medical system and two-way referral.And the relevant theoretical basis is listed.In Part 3,it analyzes the inevitability of hierarchical medical system in China.The development of hierarchical medical system before and after the implementation of the medical reform is discussed.In Part 4,it takes Gaoming,Foshan for example,analyzing the local Hierarchical medical system and over-viewing main results of hierarchical medical system in local area briefly.In Part 5,it enumerates difficulties thorough deep analysis in the process of in hierarchical medical system advance.In Part 6,it comes to the countermeasures and suggestions which could promote the hierarchical medical system.Finally,the conclusion points out that,the hierarchical medical system is far away from success.But with government’s high attention and active involvement and concerted effort of the society,it is close to establish a hierarchical medical system that meets the national conditions.