after the implementation of medical reform, standardized training of resident physicians, hierarchical medical treatment, public hospital reform, medical insurance for major diseases and other measures have been rolled out in succession nationwide. Zhejiang, Anhui, Fujian, Beijing, Shanghai and other provinces and cities have been at the forefront of reform exploration.
Hierarchical diagnosis and treatment: The disease can be cured near your home
The number of hypertensive patients in China is as high as 300 million, and most people need to take medicine such as shihuida and mono to stabilize blood pressure for a long time. However, the situation of drug shortage and shortage of doctors in primary medical institutions has been existed for a long time, resulting in patients having to go to large hospitals and difficult patients with miscellaneous diseases.
In view of the above situation, xiamen city of fujian province has introduced a series of measures in the process of exploring graded diagnosis and treatment. Mrs. Li, who has long suffered from hypertension, can buy normal antihypertensive drugs near her home. Xiamen city health and family planning commission director Yang Shuyu introduced: We put these patients in the unified management of the community, and allowed the grassroots and large hospitals to enjoy the same procurement rights, so as to solve the problem of prescribing drugs for patients and alleviate the medical burden of large hospitals.”
This is part of the purpose of graded diagnosis and treatment: by policy adjustments, patients with common and chronic diseases are encouraged to voluntarily go to primary medical institutions for treatment, while large hospitals that have been in a "wartime state" for a long time are allowed to return to the position of academic and difficult diagnosis and treatment.
In this respect, Shanghai is also in the forefront of the country. Many residents began to have family doctors and gradually developed a medical habit of making the first visit to the contracted family doctor. It is understood that Shanghai health and family planning commission through the signing of preferential policies and basic medical insurance system adjustment. Starting from some specific groups with large medical demands, municipal medical institutions are required to give priority to family doctors in terms of medical treatment and hospitalization resources, and gradually form the medical treatment order of "community first consultation and orderly referral".
In the process of exploration, the lack of good doctors at the grassroots level has become the bottleneck of the development of graded diagnosis and treatment. How to do? The standardized training of resident doctors has been fully pushed. The multi-site practice of physicians to guide the rational flow of quality medical resources is proceeding in an orderly manner. The policy of assistance to primary medical institutions by specialized hospitals has been implemented for many years.