我国分级诊疗面临的困境及对策建议

摘要

分级诊疗是"优化与重构医疗卫生服务体系",解决群众"看病难、看病贵"问题的有效途径.目前我国分级诊疗在实践过程中还存在着许多问题,这些问题的解决既需要政府部门做好顶层配套政策,更需要各级医疗机构转变思维模式,创新适合的分级诊疗体系.对我国分级诊疗面临的困境从医联体运行机制、医保制度、医师多点执业、医疗资源分配和医疗信息共享等方面进行了分析,并提出相应的对策建议.%Hierarchical diagnosis and treatment is an effective way to "optimize and reconstruct medical and health service system" and solve the problems of "difficulty and expensiveness of getting medical treatment". At present, the hierarchical diagnosis and treatment still exists many problems in the process of practice, and the solu-tion of these problems not only requires government departments to do the top-level supporting policies, but also needs the medical institutions at all levels to change their thinking mode and innovate the appropriate hierarchical diagnosis and treatment system. This paper analyzed the dilemma of hierarchical diagnosis and treatment in China from the aspects of medical alliance operation mechanism, medical insurance system, physician multi-point occu-pation, medical resource allocation and medical information sharing and so on, and put forward corresponding countermeasures.