| 摘要: |
目的 评估黑龙江省基层医疗机构新农合分级诊疗制度的运行效果。方法 通过分析黑龙江省B县和FZ县不同级别医疗机构的诊疗人次及费用分布情况、基层医疗机构的转诊人次及疾病、分级诊疗制度实施前后基层医疗机构的运行情况，对分级诊疗制度的运行效果进行评估。结果 患者的不良就医习惯阻碍了基层首诊的有效运行；病种限制政策实施难度较大；同时存在上转容易下转难、为规避风险推诿病人的现象。结论 “小病在基层，大病到医院，康复回社区”的就医格局有待进一步完善。 |
| 关键词: 分级诊疗 新型农村合作医疗 双向转诊 限治病种 黑龙江 |
| DOI： |
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| Implementation and Countermeasure on the NMCMS‘ Hierarchical Diagnosis and Treatment in Heilongjiang Province |
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| Abstract: |
| Objective
To analyze the implementation effects on Hierarchical Diagnosis and Treatment of the New Rural Cooperative Medical System(NRCMS). Method Through study the distribution of outpatient visit and medical fee in different levels of medical institutions; analysis of the number of referrals and the referrals’ diseases, to assess the changes in the operation of Basic Medical and Health Institutions before and after the Hierarchical Diagnosis and Treatment’s operation. Results The poor habits of patients seriously hindered the operation of Basic Medical and Health Institutions, the system of diseases cured in a fixed level medical institutions hardly carry out. To avoid the medical risk leads to refuse the patients, conduced some simultaneous phenomenon what the number of patients referral to medical institutions at the next higher level are much more than the patients referral back to the Basic Medical and Health Institutions. Conclusion The system of the Hierarchical Diagnosis and Treatment remains to be further perfected. |
| Key words: hierarchical diagnosis and treatment,New Rural Cooperctive Medical System,two-way referral,diseases cured in a fixed level medical institutions,Heilongjiang |
