关于构建分级诊疗制度相关问题的思考

Thinking about issues related to the building of grading diagnosis and treatment system

我国医改推进过程中,分级诊疗制度是一项必要的改革举措。文章分析了分级诊疗制度对我国现阶段改革的重要意义,梳理了分级诊疗制度在我国的发展历史,结合我国分级诊疗改革的现实基础和发展趋势,提出五个方面的可操作化建议,即从短期来看,需要形成合理有序的转诊流程;建立可操作化流程;建立转诊的约束机制和激励机制;制定详细的各类转诊标准和指标。从长期来看要改善我国医疗资源分配的不均衡的情况,提升基层服务能力,为分级诊疗制度长期良性运转打好基础。

During the promotion of health care reform in our country, the grading diagnosis and treatment system is a necessary reform measure. This paper analyzes the significance of grading diagnosis and treatment system to the reform at the present stage in China, summarizes the development history of grading diagnosis and treatment system in our country, and gives operational suggestions in five aspects reform of grading diagnosis and treatment in our country. In shall be formed; the operational process shall be established; combined with the realistic basis and development trend of the short term, the reasonable and orderly referral process constraint mechanism and incentive mechanism of referral shall be set up; and various detailed referral criteria and indicators shall be developed. In the long term, the unbalanced medical resource allocation in our country shall be improved, the basic-level service ability shall be improved, and the foundation shall be laid for long-term good operation of grading diagnosis and treatment system.