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为了扭转当前不合理的医疗资源配置格局、有效盘活存量、提高医疗资源配置使用效率,分级诊疗制度逐渐地走上了新医改的舞台。但是,当前国家配套政策的不完善、各级医疗机构不配合、居民就医习惯不理性等因素严重阻碍了分级诊疗体系的健康运行,“看病难,看病贵”问题仍然没有得到有效缓解。该文以ROCCIPI技术为分析框架,全面、系统、科学的识别分级诊疗体系运行中存在的问题并提出改进策略,希望为分级诊疗实践提供参考。
In order to reverse the irrational allocation pattern of medical resources, effectively revitalize the stock and improve the efficiency of the allocation of medical resources, the hierarchical medical treatment system has gradually taken the stage of new medical reform. However, the imperfect supporting policies of the state, the incompatibility of medical institutions at all levels, and the irrational use of residents in medical treatment have seriously hindered the healthy operation of the grading system. Therefore, the problems of “difficult access to medical treatment and expensive medical treatment” have not been effectively alleviated. Based on the ROCCIPI technology, this paper comprehensively, systematically and scientifically identifies the existing problems in the operation of the grading system and puts forward the improvement strategies. It is hoped that this will provide a reference for the practice of grading diagnosis and treatment.