中国全科医学2018，Vol.21Issue(4)：395-400,6.DOI:10.3969/j.issn.1007-9572.2018.04.005
西部地区"1+1+1"分级诊疗模式推行动力不足的原因与对策探讨
Causes and Countermeasures for Inefficient Development of "1+1+1" Hierarchical Diagnosis and Treatment Pattern in Western China
摘要
Abstract
The "1 +1+ 1" hierarchical diagnosis and treatment pattern refers to that for easy access to medical services, residents first sign a contract with a family doctor team, then with a voluntarily self-selected district-level hospital (secondary hospital) and a municipal-level hospital (tertiary hospital) located near their residence. In a sense, it is an integrated signing contract pattern, which aims to solve the problem of "It is difficult and expensive to see a doctor" for urban and rural residents, and achieve a scientific and reasonable pattern of medical treatment by allocating medical resources reasonably, saving medical cost and improving service efficiency. Based on the current status of hierarchical diagnosis and treatment in western China, we analyzed government-, medical institutions- and patient-specific factors associated with the inefficient development of "1 +1+1" hierarchical diagnosis and treatment pattern in this area, and put forward targeted suggestions, in order to boost the sustainable development of hierarchical medical system in western China.关键词
分级诊疗/"1+1+1"分级诊疗模式/西部地区Key words
Hierarchical medical system/"1+1+1" hierarchical diagnosis and treatment pattern/Western China分类
医药卫生引用本文复制引用
王慧,孟美芬,范卢明,张丽平..西部地区"1+1+1"分级诊疗模式推行动力不足的原因与对策探讨[J].中国全科医学,2018,21(4):395-400,6.基金项目
云南省医疗卫生单位内设研究机构科研项目(2016NS265) （2016NS265）
