To Improve The Legislative Proposals For The Two-way Referral System In China From The Perspective Of Patient Rights Protection

In the process of medical system reform in our country, two-way referral system is based on community first option to support the community health, to solve the "difficulty and high cost of the doctor" an important measure. "Two-way referral" is based on the level of hospital division, to change the way diagnosis and focus to take a triage, it can be divided into longitudinal and transverse referral, referral, longitudinal referral including forward and reverse referral, referral positive referral is to point to by the community hospital at higher levels hospital referral, step by step backward referral refers to the hospital to the junior community hospital referral by the supervisor. Horizontal referral is pointing to the same level of specialized subject, specialty referral hospital. Two-way referral system to reduce because of the large city comprehensive hospital responsible for a lot of common disease, frequently-occurring disease diagnosis and treatment of waste of health resources, as well as the basic level hospitals and community health service demand, the phenomenon such as medical consultations too little is of great significance. Two-way referral system is the direction of health reform and development in our country, it is to solve the problem of "difficulty and high cost of treatment in patients with provides methods.However, how to safeguard the rights and interests of patients in two-way referral system, also become the urgent problems in the two-way referral system in China. In the process of the two-way referral, referral of judgment to doctors in combination with their own understanding of judgment, and protect the informed consent right of patients is often overlooked, and in the construction of informatization, the risk of patients right of privacy often have leaked. And grass-roots community health service institutions lack talent team construction, medical staff level is not high, cause medical accidents; Lack of supporting policies, lack of operability referral standards, software and hardware of the equipped with is not complete, will infringe on the rights of patients. Therefore, to establish a more comprehensive two-way referral system, to safeguard the rights and interests of patients is urgently needed.Promote two-way referral, community first, hierarchical diagnosis is the key point of health reform in our country, is also a key to the success of the medical system construction. But in the two-way referral in actual operation and working process in our country, the relevant system is not strict, it is difficult to implement still is indisputable fact that still exist many problems, such as community hospital doctor level is not high lead to miscalculation of the patient condition, the information provided is often leaked to the patient, two-way referral lead to cannot be held accountable, no detailed rules for the implementation of medical institutions can not safeguard the rights and interests of patients, etc. Therefore, this article will around the idea of taking patients as the center, from the legal mechanism put forward opinions and Suggestions on constructing two-way referral system, better safeguard the rights and interests of patients with various aspects, to ensure the safety of patients and referral of responsibility in the process of distinguish, and the maintenance of privacy, let patients through two-way referral system to complete the guarantee of power. The thesis mainly consists of four parts. The first chapter, introduction. The paper mainly introduces the research background and practical significance, including the research of two-way referral system to safeguard the rights and interests of patients. The second chapter, the present situation and problems of two-way referral system in our country, by the community health service institutions and hospitals on domestic status quo of the two-way referral system, and the task of the two-way referral, analyze and reveal the two-way referral system of China's current problems in ensuring patients rights and interests. Himself through methods such as questionnaire and negotiation in patients with typical Beijing Chaoyang district community needs analysis in the two-way referral to better safeguard the rights and interests of patients, and provide strong evidence for two-way referral policy. The third part, in Britain, the United States, Australia, the two-way referral system safeguard the rights and interests of patients in the aspects of description and evaluation, and the policy guidance and technical support, quality assurance and evaluation feedback four aspects safeguard the rights and interests of patients in our country to establish the two-way referral system for inspiration. The fourth part, from the perspective of patients rights and interests protection, the paper puts forward to perfect our system design and the legislative Suggestions of two-way referral system, mainly from the patients' right to know and discretion, the right of privacy, and solve the patients considering your problem, etc.