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Yao Jianhong, deputy director of the Department of System Reform of the National Health and Family Planning Commission, said that the so-called hierarchical diagnosis and treatment is not to let the people go to the grassroots to see a doctor, but to divide the situation. In the future medical reform process, graded diagnosis and treatment are established as the first priority and placed on the most important position.
The National Health and Family Planning Commission held a regular press conference. Regarding the grading diagnosis and treatment, Yao Jianhong said that the level of medical treatment in the top three hospitals is relatively high, and the best resources are concentrated. People are willing to go to the top three hospitals, which is very understandable. The implementation of graded diagnosis and treatment does not mean that people go to the grassroots to see a doctor.
He further explained that it can be divided into three cases. The first case: some ordinary people should go to the top three hospitals for treatment. For example, this disease is more complicated and is not suitable for the grassroots level. It should go to the large hospital for the first time; In the second case, some diseases are best seen at the grassroots level, such as a cold and fever, these diseases are best seen at the grassroots level; in the third case, these diseases are best seen at the grassroots level, but under the guidance of a superior, they are seen at the grassroots level.
Yao Jianhong said that medical diagnosis and treatment are developing so fast now that they all go to the big hospital for treatment, and obviously the big hospital is overwhelmed. Therefore, to solve this problem, the implementation of graded diagnosis and treatment has been placed on a very important position, which is the first task.
Yao Jianhong emphasized that there are three aspects that are important. The first aspect is that if large hospitals are willing to let them go, large hospitals cannot expand indefinitely, creating a siphon effect. Therefore, the state now proposes to strictly control the excessive expansion of public hospitals, so that public hospitals can return to their original positioning. So first of all, through a variety of ways, guide large hospitals to place patients at the grassroots level.
The second is that the grassroots should be able to handle it. Ordinary people go to the grassroots. Finally, they must solve the problem of seeing a doctor and seeing a doctor. Similarly, this level and capability are also two aspects. One is the transformation of infrastructure construction, so that small medical institutions and large medical institutions can be better improved. The second is to improve the service level of doctors.
The third is to take various measures to make the people willing to see a doctor at the grassroots level. This is nothing more than supporting measures in various aspects, including differentiated payment policies for medical insurance payments, corresponding adjustments in price payment policies, and encouraging more family doctors and people to implement contracting services.