In February 2010, Nanchong was identified by the provincial government as a pilot city for public hospital reform. This is the only public hospital reform pilot city in the province. There is no ready-made experience before, and Nanchong has a hard scalp and boldly tries first. In 2014, the reform of Nanchong Public Hospital ushered in a node: together with cities such as Chongqing, it was listed as the second batch of pilot cities for the reform of public hospitals in the country, and the only one in the province... The only two explanations: the reform of Nanchong Public Hospital went all the way to the ice, and it entered the deep water area. The results were very good. The goal of the people to benefit, the development of the hospital, and the enthusiasm of the medical staff was initially realized. Time has entered the sixth year of public hospital reform, and the reform of public hospitals in Nanchong will continue to break the waves. Graded diagnosis and treatment of Nanchong experience to promote the country On March 28 this year, an unexpected news was transmitted to the Municipal Health Planning Commission. The State Council deepened the medical and health system reform leading group office to promote Nanchong to establish a grading diagnosis and treatment system. In the memory of Zhang Xianliang, director of the Hospitality Management Office of the Municipal Health Planning Commission, in early 2014, the city decided to implement grading medical treatment in public hospitals throughout the city. The intention was to achieve "a serious illness, a difficult illness to a large hospital, and a minor illness in a primary hospital." Dissatisfied with the big hospitals, grassroots hospitals, and patients. The big hospital is unhappy that some patients have been “diverted†to the primary hospitals, worried about affecting their income; the grassroots hospitals are dissatisfied that according to the current system, the income of doctors in primary hospitals (townships, street hospitals) is not According to the number of patients, it is decided to look at it more. The patient does not depend on it. I am sick, want to see where I look, and I am willing to enjoy good medical services. Why should I be restricted? Even in the design and formulation of public hospital reform systems, there are differences. Can this system of dissatisfaction with the three parties be pushed away? Under pressure, in October 2014, the municipal government issued the “Implementation Opinions on Establishing a Complete Graded Diagnosis and Treatment System†to implement grading diagnosis and treatment in the city. According to the lightness, severity, urgency, and difficulty of treatment, the medical institutions at different levels are responsible for different diseases. When the insured (integrated) person seeks medical treatment in the city (or outside the city), he or she follows the procedure of “the medical institution at the county level and below (the first medical institution)—the municipal top three medical institution—the provincial top three medical institutionâ€. It has formed a medical treatment system of “primary diagnosis at the primary level, two-way referral, rapid division and treatment, and linkage between the upper and lower sidesâ€, as well as the medical treatment pattern of “small diseases at the grassroots level, serious illness to the hospital, and rehabilitation back to the communityâ€. Although the system has been formed, it is not easy to implement. The municipal party committee and the municipal government have also launched a series of humanized measures. Without ignorance, the patient will go to the higher-level hospital for the first time without going through the first consultation of the primary hospital. The medical expenses will still be reimbursed, but a letter of commitment must be signed. Follow the grading diagnosis and treatment system strictly next time. At the same time, the performance allocation policy of primary medical institutions will be adjusted to improve the enthusiasm of grassroots medical institutions. The practice of graded diagnosis and treatment for more than one year showed that the number of outpatients and inpatients in the top three hospitals in the city decreased by 9.1% and 7% respectively, but the business income did not fall, and the rate of visits in the county increased from 78% to 90.2%. Large hospitals such as the top three hospitals mainly undertake the treatment of incurable diseases. The treatment of minor diseases, common diseases and common diseases is mainly to choose primary hospitals. Not only the medical habits of the masses are gradually changed, the medical burden is reduced, and the small hospitals are deserted and large hospitals. The phenomenon of overcrowding has also been alleviated. "Reform, not only must carefully do the top-level design, but also 'cross the river by feeling the stones.' It is necessary to focus on solving the problems that affect the vital interests of the masses, and to correctly handle various interests." The Municipal Development and Reform Commission is involved in the grading diagnosis and treatment system. The design person said when talking about this reform. Strengthen strength and improve patient satisfaction On June 5, Zhang Xiaoping, who lives in Laoguan Town, Langzhong City, felt pain in his lower back. At 9 o'clock in the morning, he came to the town center hospital for examination. After the film was taken in the hospital, at 9:30, the medical staff of the Laoguan Town Center Health Center sent the film to the clinical diagnostic center for clinical imaging through the special line. The experts of the center quickly converted the film into digital image on-site diagnosis. The resulting diagnosis is lumbar vertebrae hyperplasia. At 10:36, the experts returned the diagnosis to the Laoguan Town Center Health Center. "Through the centralized imaging center, patients who are ill in the township can also enjoy the services of the top three hospitals." Reforms are only completed when they are not completed. The reform of Nanchong Public Hospital, another "blood road" to kill is to strengthen the strength of primary medical institutions, so that patients willingly seek medical treatment in grassroots hospitals, and set up a clinical medical imaging centralized diagnosis center is one of the measures. 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Dynamic: South full-level diagnosis and treatment experience will be fully promoted