A couplet of "medical" attract patients first option at the grassroots level

March 16, 2016

Source: southern net

The author found that some of qingyuan grassroots medical institutions, gp can be invited by the information video system large hospital experts to conduct video remote consultation, the patient first option at the grassroots level can enjoy the secondary and tertiary hospital expert diagnosis and treatment of convenience and benefits, so as to greatly reduce the blindness of patients to see a doctor and inconvenience. Practice has proved that the development of medical association, set up a first option at the grassroots level, two-way referral, acute slow partition, the fluctuation of grading medical service mode, to change the shortage of primary care resource utilization, large hospitals are overwhelmed the embarrassing situation of great role.

Establish and develop regional medical association, is the important content of medical and health system reform. Although couplet of medical video teaching, training, quality control and other activities, improve the diagnosis and treatment ability and level of the basic medical institutions, and further attract the patient first option in the community, but also face some embarrassing predicament and barriers. First, the basic drugs cannot meet the needs of the masses go to a doctor, grassroots medical institutions existing list of essential medicines is less than the secondary and tertiary hospital directory, can't effectively meet the basic medical needs of patients. At the same time, some patients in the hospital and into the recovery period after referral back to the community, treatment can't guarantee. Second, within the couplet of medical physician practice there are still more difficult. From the actual situation, more practice and are not real, also affect the development of the medical association. Third, deficiencies still exist in the ability of grassroots medical institutions and prominent is the lack of professional and technical personnel of grassroots medical institutions and health, annual recruitment and the introduction of technical personnel are not meet the clinical and basic public health services personnel demand, some basic medical institutions have to use outside, hire personnel to make up for the inadequacy of its personnel. There is some basic medical institutions insufficient facilities, equipment configuration, can not up to standard, unable to meet the needs of residents medical treatment.

For community medicine and the problem of large gap between two tertiary hospitals, the author believed that the department concerned can be combined with the advancement of medical couplet of construction and the grading system, gradually expand the scope of community medicine, within the scope of the couplet of regional medical, community hospital and two tertiary hospitals drug catalogue and product rules, guarantee medication requirements of patients in rehabilitation referred back to the community.

For supports physicians more practice and attract crowds at ease in the first option at the grass-roots level, the relevant departments should implement the couplet of medical medical institutions qualified doctors carried out in accordance with the relevant provisions in practice more, can make the medical staff in the area of couplet of medical part-time, flow between different medical institutions, big hospital experts to sink to the community, so as to further enrich the grassroots medical institutions in the diagnosis and treatment. At the same time, actively support health system personnel to grassroots medical institutions, enrich the frontline staff team, and relief by means of government purchase service personnel lack of problem.

Promote the reform of medical insurance payment methods, establish a scientific and reasonable way of health care costs to pay, also is the important measures to accelerate the construction of regional medical association. Such as medical couplet body internal coverage can be according to their respective contributions and the distribution of the risk factors, such as responsibility, to negotiate by him of couplet of medical division. Or under the current payment method, consider the appropriate increase the total amount of grassroots medical institutions in advance, active, give priority to use the family doctor service guide residents, standardize the reasonable diagnosis and treatment.