摘要
Abstract
According to the behavior changing theory of knowledge - attitude - practice,we explored the key elements regarding how government manages medical services,how doctors practice medicine,and how patients have medical services in the coordinated health care delivery system in China,and also explored the supporting polices and institutional environment to encourage major hospitals to make patient referral down to primary - level medical settings,primary - level medical settings to receive referral patients,and patients to have medical services in primary - level medical settings. This paper came up with following suggestions. In terms of cognition,we should realize that the coordinated health care delivery system is the core of planning for regional health care delivery system and benchmark of health care system reform,and is a complex long - term task. In terms of willingness,given the willingness of major hospitals to make patient referral down to primary - level medical settings,the reform of traditional financial aid mode and the current pricing mechanism of medical services should be carried out at the same time;given the willingness of primary - level medical settings to receive referral patients,special subsidies should be established and the gap of performance pay should be widened;given the willingness of patients to have medical services in primary - level medical settings,specialist doctors of major hospitals should be encouraged to provide medical consultation in primary medical settings,the concept of first diagnosis in primary - level medical settings should be publicized in a right way, and medical insurance management should be improved. In terms of action,while advancing the coordinated health care delivery system,other measures should be implemented at the same time,including differentiated assessment systems,establishment of primary - level departments in major hospitals and consistent drug lists.关键词
分级诊疗/行为改变理论/认知/意愿/行动Key words
Coordinated health care delivery system/Behavior changing theory/Cognition/Willingness/Behavior分类
医药卫生
