Current，With the development of digital technology and the advancement of digital transformation，The application of some new digital technologies in the field of public health and medical and health has begun to see。For example，Internet and big data、Cloud computing fusion promotes the development of Internet hospitals，Disease warning、Condition analysis、Medical material scheduling and other fields are shining; artificial intelligence promotes disease diagnosis、Biopharmaceuticals and even gene sequencing are constantly innovating and developing; the combination of 5G and virtual reality，It helps to break the space -time restrictions of doctors with medical services ... and the blockchain as a underlying technical framework with universal characteristics，Integration and sharing medical big data、Promoting smart medical services、Construct a hierarchical diagnosis and treatment system，Have huge application potential and development space。

The hierarchical diagnosis and treatment system mainly includes the first diagnosis of the grassroots、Two -way referral、Slowly divide、Links and other contents，In short, patients are diagnosed and treated with medical institutions at different levels according to the severity and difficulty of the disease，and the practice of equalization of medical and health services is also constantly showing the importance of strengthening the hierarchical diagnosis and treatment in grassroots construction。Blockchain technology that has emerged in recent years is essentially a networked distributed ledger，It allows both parties to participate in the accounting、Sign a contract、Implementation of settlement、Transfer assets, etc.。The characteristics of this distributed ledger enable it to fit well with the hierarchical diagnosis and treatment system，Used to store、Integrated、bet365 live casino games Analysis of medical data，Ensure the privacy security of the data，to maintain a hierarchical diagnosis and treatment information system。In the process of organizing management and medical resource services in the regional medical joint system (hereinafter referred to as the "Medical Union")，Through the in -depth integration of blockchain technology innovation and the same application scenario，The pain points that can crack the implementation of the hierarchical diagnosis and treatment system，Improve and improve the hierarchical diagnosis and treatment system。

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For a long time，There are "hospital -centered", "treatment -centered" in my country's medical service system, and structural problems such as patients with disorderly medical treatment。Apply the blockchain to a hierarchical diagnosis and treatment，Privacy protection for cracked medical services and hierarchical diagnosis and treatment systems、Comprehensive supervision and people's medical habits such as difficulty in the people have unique pain points。

First, it helps patient privacy protection。During the implementation of the hierarchical diagnosis and treatment，Whether the information between different medical institutions can be unblocked is the main problem，But the protection of patient privacy is also a pain point。How to weigh the relationship between the disclosure and protection of medical information，Those worthy of medical services and related researchers think deeply。The encryption and trusted features of the blockchain，can meet these requirements very well。On the one hand，Blockchain system can use advanced algorithms to encrypt medical data and patient information，Increases its security while promoting the opening of data。，These algorithms can also effectively solve the license access acquisition of traditional Chinese medicine data、Information opaque and external attacks。On the other hand，The database of the blockchain system also has storage and accounting functions，All medical institutions in the medical consortium can participate in accounting、Upload medical bet365 Play online games big data，Related information is arranged in the order of time and openly transparent，It is difficult to forge and tampered with data for ensuring data.。Therefore，Between doctors and patients, you no longer need to trust the intermediary to get comprehensive and real medical information，Patients and doctors、The trust relationship between medical institutions can be further reshaped and promoted。

Second, it helps to strengthen comprehensive supervision。May 2022，The "Fourteenth Five -Year Plan" National Health Plan issued by the General Office of the State Council pointed out，We must "accelerate the construction of a hierarchical diagnosis and treatment system", "Deepen the reform of related fields", "Improve the comprehensive medical and health regulatory regulatory system"。Introducing blockchain technology into the field of comprehensive regulatory in graded diagnosis and treatment will be greatly actions，Because the blockchain can provide a effective method for the supervision and sharing of medical information，Realize the entire network information free notarization。Patients can check the participation medical diagnosis records anytime, anywhere through the blockchain system，Tracing drug information and medical institution information，and identify the credit situation of the participants (such as hospitals or doctors)，This makes the weak relationship between the two sides become a strong connection，Help patients play a supervision role，Maintenance of public health and safety。At the same time，Government regulatory agencies can also enter the medical federation database，For hospitals and pharmaceutical companies、Patients and other medical service participants activities for "full cycle management"。The distributed ledger of the blockchain will record all data changes and diagnosis and treatment process，This characteristic can help regulators track and check the relationship between doctors and patients，It is conducive to regulatory agencies to regulate the whole process of hierarchical diagnosis and treatment business。

Third, it helps to motivate Bet365 lotto review patients to adapt to graded diagnosis and treatment mode，Change traditional medical habits。Blockchain not only has powerful algorithm technical support，Also closely related to the same unique innovation incentive mechanism。In the original blockchain system，Participants can participate in creating a new blockchain，The extension of the common maintenance system，Then obtain virtual currency as "reward"。Current，This incentive mechanism has been practiced and innovated in some business models such as online shopping platforms and new media platforms，to stimulate more people to participate in the operation of the corresponding mechanism。This incentive mechanism and participation may also be applied to graded diagnosis and treatment，Guide more people to actively join the practice of hierarchical diagnosis and treatment。We may be able to use the incentive mechanism of the blockchain system，Promote patients to actively choose medical resources to adapt and participate in accounting to get rewards，Therefore, people's medical habits are subtly changed。

　Help system construction 

New technologies such as blockchain as a power mechanism effectively embedded in the hierarchical diagnosis and treatment system，Disease screening early warning for class diagnosis、Affairs of the treatment decision -making and management, and the optimization of the referral process，Then build a more complete hierarchical diagnosis and treatment system。

1 is to enhance the early warning ability of the disease。Hierarchical diagnosis and treatment mainly guides patients to scientifically and reasonably select medical institutions for treatment，In this system，Sharing of patient medical records and prevention of diseases is particularly important。If you build a blockchain system in the medical federation，Medical data is open within the community、Authorized acquisition，Doctors from different hospitals can quickly obtain relevant information，Reduce unnecessary repeated inspection and waste of resources，So the right medicine。Especially in the first clinic at bet365 live casino games the grassroots level，Doctors can be in the blockchain、Under the support of technologies such as big data and artificial intelligence, quickly make disease screening and diagnosis，Guide patients with grading classification and orderly medical treatment。This helps urgent、Early warning of chronic diseases，It also helps prevent concentrated outbreaks of infectious diseases。

The second is to assist decisions and management。Existing research indicates，Blockchain can achieve dual goals that improve the quality of medical research and ensure the privacy of patients by sharing data。For example，You can establish a patient -centric medical imaging data interactive platform，Let users customize access permits to control image sharing。This，Can be encrypted by the patient's data，Clinical research that can promote data sharing and data -driven。It can be said，The blockchain system provides information sharing and communication platforms for the hospital's participation and treatment decision -making，Make the medical digital system more intelligent。At the same time，Blockchain booster hierarchical diagnosis and treatment system management structure Flat development，Both doctors and patients participate in the new system，Can better meet the people’s online consultation、Convenient to seek medical treatment and seminaries，greatly reduced the middle cost。

Third is to optimize the referral process and service。Smart contract is a practical function、Intelligent protocols for digital thinking and automated execution，is version 2.0 of blockchain technology，The rapid landing of graded diagnosis and treatment and the signing process of family doctors have a broad application scenario。Family doctors are key links in graded diagnosis and referrals and services，It can make the hierarchical diagnosis and treatment system more perfect，To better realize the transformation of high -quality medical services from the bottom layer and the grassroots level。March 2022，National Health and Health Commission、Six departments including the Ministry of Finance Bet365 app download and the Ministry of Human Resources and Social Affairs jointly issued the "Guiding Opinions on Promoting High -quality Development of Family Doctors' Signing Services"。In this way，Related institutions can try to establish a referring platform based on blockchain and smart contracts，Make a family doctor、Communication and communication between the specific departments of residents and medical units is more convenient。On the one hand，Residents and family doctors directly sign a contract through smart contracts，Automatically shared related medical information and fulfill the agreement，Promoting High -quality Development of Family Doctors Signing Service。On the other hand，Residents can seek medical treatment under the guidance of a family doctor，Follow -up after medical treatment can also be completed on the transfer platform，Realize the smooth flow of the referral process and the convenience of the consultation service。

To sum up，Hierarchical diagnosis and treatment based on blockchain can solve the data through the data between medical institutions、Privacy Protection、Comprehensive supervision and traditional medical habits，To some extent reshape the hospital process and the relationship between doctors and patients。But we should also recognize，Blockchain can often only play auxiliary role in medical empowerment，It also needs to be integrated with other technologies to improve medical quality，and the final decisive role is the perfect institutional system and the superb medical skills of the doctor。，With the advancement of quantum technology，The encryption algorithm of the blockchain has also been challenged; the transaction capacity and operation and maintenance ability of the blockchain system，Also questioned over time。such difficulties，It is necessary to further study and explore in the theory and practice of promoting the application of the blockchain in the hierarchical diagnosis and treatment.。In short，Blockchain、Big Data、The development and application of new technologies such as artificial intelligence，Always always put the bet365 Play online games lives of the people、Putting good health in the first place。

　(This article is a major topic of research on philosophy and social science research by the Ministry of Education of the Ministry of Education. 

(Author Unit: School of Government Management, East China University of Political Science and Law)