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Shaanxi: hierarchical diagnosis and treatment to achieve tripartite win-win situation

2014年11月28日

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Shaanxi: hierarchical diagnosis and treatment to achieve tripartite win-win situation 
 
 
Our reporter Zhao Wen correspondent Wu salsa 
 
 

China's traditional Chinese medicine to 



    "Township health centers not only county traditional Chinese medicine experts visit, treatment equipment is complete, hospitalization also saved one thousand yuan." Fengxian county farmers Chen Baohuai looked at the hospital bills, revealing a satisfied smile. All these positive benefit from shaanxi province high quality resources of sinking measures were taken in reform and the classification system of preliminary established.
 
    Tripartite win-win model
 
    Recently, tang Tibetan town caojia pfe village, feng county, shaanxi province, a 68 - year - old villager Chen Baohuai sudden coronary heart disease (CHD), was rushed to more than 30 kilometers county hospital of traditional Chinese medicine, after five days of treatment, the doctor suggested that she go to the town center hospital for later treatment. Chen Baohuai and family feel township health centers to see a cold have a fever, put to heart attack maybe the effect is not ideal. After the doctor explained that he didn't know, as early as in more than three months ago, on a county hospital of traditional Chinese medicine has qianshou tang Tibetan township health centers, set up service management mechanism, implement the "two-way referral, hierarchical diagnosis" service mode, will be high-quality medical resources such as county experts, equipment down, let the patient in township health centers can also enjoy the level of medical services at the county level. Back to the township health centers Chen Baohuai, after a few days after treatment, rehabilitation was released from the hospital soon.
 
    , director of the provincial administration of traditional Chinese medicine Su Rongbiao said since the reform, the province's nearly 100 county hospital of traditional Chinese medicine with more than 300 towns and townships to establish an integrated management mode, through expert at the county level supply visit, promote grass-roots service ability, long plagued the grassroots doctor difficult problem has been effectively alleviate, currently in grassroots medical institutions of traditional Chinese medicine services accounted for 23.8%.
 
    Now, the province's initial formation of the "first option at the grassroots, turn upwards of a serious illness, recover back to the villages and towns" concept of hierarchical diagnosis accepted by more and more people, big hospital "crowded", small hospitals "empty" phenomenon and the masses "difficulty and high cost of the doctor" problem is being gradually ease, county-level hospitals can solve complicated illnesses, focus on the development of specialized subject in towns and townships give play to the role of the first option at the grass-roots level, people can save the cost to see a doctor, a tripartite win-win situation.
 
    Establish a mechanism for the hierarchical diagnosis and treatment
 
    According to the current health care regulation, different levels of medical institutions and patients with every turn, due in a health care to pay. Two-way referral, classification and treatment, especially the recovery of the patients the grass-roots hospitals, although higher reimbursement ratio, but the starting line of pay more write-downs for high proportion, affected the enthusiasm to grassroots referral of patients with different level.
 
    To break the bottleneck, this system determines the baoji in shaanxi, zichang county, such as 1, 10 county comprehensive reform, launched the classification diagnosis and treatment, the integrated use of medical, health care, price and other means, the patients with interests lever to grass-roots, advancing "first option at the grass-roots level, hierarchical diagnosis, two-way referral" new medical order. Reimbursement ratio due to the towns and townships than reimbursement ratio is high, the county-level hospitals after referral generally can save 800 multivariate, welcomed by the masses.
 
    "I lived in county hospital of traditional Chinese medicine for 2 days, in a stable condition after the doctor suggested that transfer to the town hospital, 15% higher than that of reimbursement ratio not only, and no longer pay pay of 200 yuan, and reduce the extra expenses such as accommodation, transportation, it fully saved 1200 yuan!" Recovered flat wood in fengxian county town center hospital treatment of Zhao Tianyao said happily.
 
    Further beneficial to increase engineering
 
    Since 2013, the province in promoting grassroots service project, improve the capacity of traditional Chinese medicine has increased in towns and townships service ability construction and promotion of traditional Chinese medicine of traditional Chinese medicine appropriate technology, over the years, the current situation of the basic level of Chinese medicine, Chinese medicine less greatly improved. According to incomplete statistics, in 2013, the province finance 16.4 million yuan for grassroots service projects, improve the capacity of traditional Chinese medicine project involving the subject construction and talent cultivation at the grass-roots level, the doctor of traditional Chinese medicine diagnosis and treatment equipment purchase, etc., in 2014 reached more than 2000 ten thousand yuan, safeguard the upgrade project.
 
    From the perspective to examine "promotion project" evaluation results, so far in shaanxi province has 85% of community health service center, 76% of the towns and townships have set up the standard regions and TCM pharmacy and equipped with a device of traditional Chinese medicine, 81% of the community health service stations, 55% of the village clinic can provide services of traditional Chinese medicine, the grassroots "watching the house will get to see the", "Jane, then, check-up, cheap" of Chinese medicine in primary prevention has played a positive role in the health care and medical services.
 
    Fengxian county Tibetan town hospitals dean wen-ying zhao tang told reporters that this year recruited an undergraduate students of the college of traditional Chinese medicine hospitals, and county hospital of traditional Chinese medicine also dispatching TCM doctor visit support, three institutes set up a TCM pharmacy, the hospital wards, opened rehabilitation therapy characteristic specialized subject, institutes of income increased significantly.
 
 
 
 
The original link: http://www.cntcmvideo.com/zgzyyb/html/2014-11/27/content_93362.htm