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Revelation of the construction of the new crown pneumonia on my country's hierarchical diagnosis and treatment system

February 17, 2020 04:17 Source: "China Social Sciences", February 17, 2020, No. 1866 Author: Wang Chaoqun

　　Since January 2020，Pneumonia infected by new coronary virus infection (hereinafter referred to as "new coronary pneumonia") affects the hearts of the people across the country。initial，Wuhan in the hardest hit area in the epidemic has undergone a period of disorderly medical treatment。With the establishment of the leading group of the central government's response to the new crown pneumonia, and Hubei Province、Wuhan New Guan Guan Pneumonia Prevention Headquarters was established，Fast progress of various policies and measures，Current，Wuhan City has initially achieved new crown pneumonia grades for diagnosis and treatment。

　　Hierarchical diagnosis and treatment is the first of the five basic medical and health systems in my country，It can be seen in its importance。The important symbol of the success of China ’s medical reform is to achieve hierarchical diagnosis and treatment。but，After more than ten years of exploration and practice，my country's class diagnosis and treatment progress is not very smooth。But，At least in Wuwu City，New Crown Pneumonia has initially realized the first clinic of the grassroots at the first month、Two -way referral、Slowly divide and link up and down。This is precisely the core requirements of class diagnosis。The process of hierarchical diagnosis and treatment in Wuhan'bet365 live casino games s new crown pneumonia is important for the construction of a hierarchical diagnosis and treatment system in my country。

　　The government and the main related departments have the motivation to promote the new crown pneumonia grading diagnosis and treatment。Hubei Province and Wuhan Municipal Government want to control the epidemic as soon as possible，The health administrative department and the disease control department want to reduce the mortality，The medical insurance department and the financial department want to reduce the medical insurance fund and fiscal expenditure。Hierarchical diagnosis and treatment is both helpless move，It is also the most effective among various policy tools。

　　New Crown Pneumonia Horing Diagnosis and Treatment Process is embedded in the overall social control system。To cope with new crown pneumonia，Wuhan City has taken measures to be closed，Cross -regional flow in the city is also controlled。This system is similar to the flow control of personnel under the planned economic system。Most people in Wuhan have been limited。This environment of regulating personal travel is the background condition that is implemented by Wuhan'bet365 live casino games s new crown pneumonia cooked diagnosis and treatment。If you just rely on voluntary ways to achieve the difficulty of grading diagnosis and treatment。

　　Even in areas that do not take similar control measures，Most people also spontaneously abandon travel freedom。Very obvious，In the current environment，Abandoning the freedom of personal travel is useful。This can reduce the probability of personal infection，It will also increase the probability of personal timely treatment when being infected。Only bet365 Play online games when the patient recognizes that it can benefit from the hierarchical diagnosis and treatment system rather than damage，They will be more willing to comply with hierarchical diagnosis and treatment requirements。

　　Large hospital spontaneously promotes graded diagnosis and treatment。Explosive growth of patients with heating patients，greatly surpass the bearing capacity of large -scale hospitals in Wuhan City。Even medical staff of the army and other provinces and municipalities are constantly supplemented，It is still difficult to meet the needs of short -term treatment。Large hospital diagnosis and treatment service capacity reaches the limit，Personalized overload operation，Urgent hope to reduce business volume，Concentrated energy to treat critical patients，and the low -technical screening work is handed over to the grass -roots medical institutions。Visible，It may be difficult to guide large hospitals to voluntarily participate in hierarchical diagnosis and treatment，It must stimulate the endogenous power of a large hospital。

　　Grass -roots medical institutions are effectively mobilized。Insufficient service capabilities of grass -roots medical institutions，It is easy to cause misdiagnosis。In the past，People are because they are worried about misdiagnosis of grass -roots medical institutions，Unwilling to take a doctor at the grassroots level，Difficulty in implementing the graded diagnosis and treatment。Of course，Even the current new coronary pneumonia is implemented in Wuhan City，It is also difficult to judge the actual effect of the first diagnosis of the community。but，The state announced the symptoms and diagnostic Bet365 lotto review guidelines for new crown pneumonia in the short term。Some regions even conducted training related to medical staff of all grassroots medical institutions。This improves the screening capabilities of grass -roots medical institutions in these areas，Therefore, you can undertake the task of the first diagnosis of the community。Visible，improving the service capacity of grassroots medical institutions is an important basis for implementing graded diagnosis and treatment。

　　The National "Thirteenth Five -Year Plan" Deepening the Reform Plan for the Medical and Health System "proposes five requirements for the construction of a hierarchical diagnosis and treatment system，That is to improve and improve the medical and health service system; improve the ability of grass -roots medical and health services; guide public hospitals to participate in classified diagnosis and treatment; promote the formation of diagnosis and treatment -rehabilitation -long -term care continuous service model;。Wuhan'bet365 live casino games s new crown pneumonia -class diagnosis and treatment involve at least three of them。And the experience obtained by the new crown pneumonia's classic diagnosis and treatment is produced in a special institutional environment。It fully indicates，Hierarchical diagnosis and treatment requires intervention with external forces to better form。The purpose of external intervention is to help build an institutional environment that can achieve a hierarchical diagnosis and treatment。The key elements of this system environment are all included in the aforementioned new crown pneumonia class diagnosis and treatment process。

　　The implementation of hierarchical diagnosis and treatment requires the government to condense reform consensus。We need to build a mechanism，Make the government realize Bet365 lotto review the benefits of promoting hierarchical diagnosis，To help them make up their minds to promote hierarchical diagnosis and treatment。Department, which is directly affected by the hierarchical diagnosis and treatment system，We must more actively promote the establishment of a departmental linkage consultation mechanism，The consensus on the gains and disadvantages of the government's internal implementation of graded diagnosis and treatment。Once the government and related departments are topped from top to bottom to form a hierarchical diagnosis and treatment reform consensus，Hierarchical diagnosis and treatment process will be greatly accelerated。This aspect，Scholars can also play a more important role。

　　It can be targeted at specific diseases，Implementing forced grading diagnosis and treatment，Gradually expand the scope of compulsory。Under the background of participating in basic medical insurance，Since basic medical insurance needs to reimburse medical expenses for patients participating in the insurance，Patients should naturally fulfill certain obligations。Comply with hierarchical diagnosis and treatment regulations can be an obligation set by basic medical insurance。It should be emphasized to the insured，Realize class diagnosis and treatment，Can save total medical expenses，to reduce the payment burden on the insured。

　　On the basis of compulsory，The benefit of those who comply with the provisions of the hierarchical diagnosis and treatment are much greater than those who do not comply with the provisions of the hierarchical diagnosis and treatment。At the same time，In terms of propaganda, the public should truly realize，Crowded in a large hospital for medical treatment is not Belly without any harm。Another，We can set medical insurance payment standards、bet365 live casino games Develop medical service price、Construction of close medical communities, and reduce or even cancel ordinary outpatient clinics of large hospitals，Make large hospitals focus on critical severe treatment。

　　Primary medical institutions need to improve service capabilities。Current，You can build a close medical community、Expansion of privateization、distributed more medical insurance funds to grass -roots medical institutions and other methods。Its core is to increase the income level of grassroots medical staff。It must be attractive enough to make its income，Only in this way can you attract more high -service medical personnel to enter the grass -roots medical institution to practice，Patients will be more willing to go to the grass -roots medical institution for treatment，To achieve a virtuous cycle。On the basis of promoting the formation of diagnosis and treatment -rehabilitation -long -term nursing continuous service model，Aharma doctors from large hospitals or even high -tech doctors can sink or be attracted to primary medical institutions，to improve the service capabilities of grassroots medical institutions。

　(Author is an associate professor at the School of Public Management of Huazhong Normal University)

Editor in charge: Changchang