浙江省实施三位一体分级诊疗试点的改革实践及思考

The reform practice and thinking of Zhejiang province in the implementation of the "three-in-one" hierarchical medical pilot

浙江省稳步开展"三位一体"分级诊疗的试点改革工作,采取了强化分级诊疗制度保障、实施"双下沉、两提升"工程、推进责任医生签约服务等主要举措,取得了良好的成效,具体包括:医疗资源配置趋向合理;双向转诊机制初步建立;医保支付政策得以优化。此外,在分析当前形势的基础上,对持续推进分级诊疗工作提出了整体构思,即坚持"三医联动";提升基层服务能力;创新"互联网+分级诊疗"模式;强化宣传引导。

Zhejiang Province steadily carried out the pilot reform of ＂three-in-one＂ hierarchical medical, adopted the enhanced hierarchical medical system, implemented the ＂two sinking and two improvement＂ project, promoted the contracted service of responsible doctor and other main measures, and achieved good results. The allocation of medical resources tends to be reasonable, the dual referral mechanism has been preliminarily established, and the medical insurance payment policy was optimized. On the basis of the analysis on the current situation, the overall idea of continuously advancing the hierarchical medical is put forward. Joint Reformation for Public Health Services, Medical Insurance and Medical Production-Circulation shall be adhered to, the basic-level service ability shall be improved, the ＂Internet＋ hierarchical medical ＂mode shall be innovated, and the propaganda and guidance shall be strengthened.