In recent years,with the rapid economic development,China’s medical and health service capabilities have been continuously improved,and the medical and health service system has become more and more perfect,and a medical and health service system covering urban and rural areas has been basically established.However,the people’s "difficult and expensive medical treatment" is still prominent Livelihood issues.After the new medical reform,through the implementation of a hierarchical diagnosis and treatment system,strengthening the construction of medical consortia,optimizing the allocation of medical resources,and guiding the masses to first diagnose at the grassroots level,the efficiency of the use of medical resources has been improved and the contradiction in medical treatment has been effectively eased.This paper uses literature analysis,questionnaire surveys,interviews and other research methods to conduct research from four aspects of the implementation status of the hierarchical diagnosis and treatment system under the medical consortium model in District B of City D,the existing problems,the causes of the problems,and the optimization countermeasures.Really and effectively promote the good implementation of the hierarchical diagnosis and treatment system under the medical consortium model in District B of City D.Investigations and studies have shown that after years of development,District B of City D has established a relatively complete medical and health service system,which basically meets the needs of urban and rural residents for nearby and convenient medical treatment.The health authorities further guide patients to seek medical treatment in an orderly manner by implementing a hierarchical diagnosis and treatment system.However,the following problems emerged during the implementation of the system:low participation in the patient grading diagnosis and treatment system,large differences in service capabilities between large public hospitals and primary medical institutions,low enthusiasm for participation by medical institutions,and poor two-way referral procedures.The main reasons are that the traditional medical concept is difficult to change,the awareness rate of the two-way referral system is low,the support of medical insurance policies and price policies is small;the infrastructure of primary medical institutions is poor,the shortage of medical technicians in primary medical institutions,and the basic drug system Restrictions,the lack of sustainable development in the construction of medical consortia;unreasonable performance appraisal programs,unclear functional positioning of medical institutions;health information platforms need to be interconnected,and referral channels are not clear between upper and lower hospitals.Regarding how to solve this dilemma,the author proposes to improve the awareness and recognition of the hierarchical diagnosis and treatment system,improve the ability of primary medical and health services,fully mobilize the enthusiasm of medical staff,and smooth the two-way referral process. |