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据国家卫计委的数据,占全国医院总数7.56%的三级医院提供的医疗服务量却达到了14亿人次,占全国所有医院诊疗人次的47.1%;而位于最底层的一级和未定级医院却仅仅提供3.2亿人次的诊疗量(占比10.78%)。这种反差显示出我国医疗服务格局的极度失衡。分级诊疗并非制度,而是良好的医疗制度运行的结果,是医疗服务体系的良性状态,是医疗服务在功能上的连续。其前提是医疗资源合理分级配置。对此,医保应强化管理,尽量减少基金和患者费用的损失,促使医疗管理体制改革回到正确的方向。本文对港澳地区的卫生制度进行探究,并对大陆分级诊疗现状提出建议。
According to the statistics of the State Health Planning Commission, the amount of medical services provided by tertiary hospitals accounting for 7.56% of the total number of hospitals in the country reached 1.4 billion, accounting for 47.1% of the total number of clinics in all hospitals in the country. However, the hospital provided only 320 million medical consultations (accounting for 10.78%). This contrast shows that the pattern of medical services in our country is extremely unbalanced. Hierarchical medical treatment is not a system, but a result of the operation of a sound medical system. It is a benign condition of the medical service system and a continuous function of medical services. The premise is that medical resources should be properly allocated. In this regard, Medicare should strengthen management, minimize the cost of fund and patient losses, prompting medical management system reform back in the right direction. This article explores the health system in Hong Kong and Maucao and makes recommendations on the status quo of the mainland’s classification and treatment.