Summary is a written material to review and analyze the study, work and life or their completion in a certain period, including achievements, existing problems, experiences and lessons. It can help us find the rules in our study and work, so it is very necessary to write a summary. How to write a summary so as not to be stereotyped? The following is a summary of classified diagnosis and treatment in hospitals that I collected for you. Welcome to share.
Summary of graded diagnosis and treatment in hospitals 1 In order to adapt to the reform of the medical system, the Health and Family Planning Bureau of our city started graded diagnosis and treatment according to the requirements of the documents of the Provincial Health Planning Commission, requiring the establishment of a standardized medical service model of first consultation, two-way referral and graded diagnosis and treatment, forming an up-and-down linkage mechanism, sharing and continuous management of disease diagnosis and treatment resources, and finally realizing the medical treatment pattern of first consultation, minor illness, serious illness and rehabilitation at the grassroots level, effectively alleviating most of them. According to the detailed rules for the implementation of graded diagnosis and treatment issued by the Municipal Health Planning Commission, our hospital carried out two-way referral with many hospitals in urban areas, strengthened cooperation with superior hospitals, and improved patient satisfaction. The grading diagnosis and treatment work is summarized as follows:
First, the achievements of graded diagnosis and treatment:
Since signing two-way referral agreements with several municipal hospitals, our hospital has established a good two-way referral cooperation relationship, successfully established a medical cooperation network between the superior and the subordinate, and effectively realized the referral function. Our hospital has set up a leading group for graded diagnosis and treatment, formulated a two-way referral system, defined the two-way referral norms, formulated a two-way referral flow chart, established a two-way referral communication system, communicated with municipal hospitals on the problems existing in the two-way referral work regularly, opened a green channel for patients' two-way referral, and all patients who turned up were effectively treated.
2. Problems in graded diagnosis and treatment:
1. Doctors in our hospital can transfer promising and difficult patients or patients according to the needs of their illness, and issue a referral form, which can be reimbursed by the new rural cooperative medical system; However, there are few transfer instructions issued by higher-level hospitals to patients. The vast majority of patients are verbally explained to our hospital by the competent doctor of the superior hospital or the patients come to our hospital for further treatment on their own.
2. According to the feedback from many patients who go to municipal hospitals, they can be hospitalized directly without the referral form issued by primary hospitals, which makes it very troublesome for many patients to issue referral forms in primary hospitals, leading to many minor disputes.
3. Suggestions for graded diagnosis and treatment
1. Further strengthen communication and coordination with municipal hospitals and increase cooperation. All work can't be a mere formality, so we must proceed from reality and improve the professional and technical level of primary hospitals from technology and management.
2. Try to change the current situation of insufficient equipment and medicines in primary hospitals, make full use of the existing medical resources in primary hospitals, and improve the service quality and the satisfaction of two-way referral patients by strengthening service management.
3. Optimize the medical service level of primary hospitals, so that patients transferred from higher hospitals are willing to continue treatment at the primary level. Grass-roots hospitals should strengthen communication with superior hospitals, track patients transferred to hospitals, and implement complete and unified management.
4. Our next work plan:
Strengthen service management and improve service quality; According to the reality of both parties, formulate a more perfect cooperation plan and further communicate with cooperative hospitals in technology and management; How to make a more detailed and smooth referral process, so that referral patients can really enjoy the benefits of the country.
Summary of graded diagnosis and treatment in hospitals 2 According to the Implementation Opinions of the General Office of Yunnan Provincial People's Government on Establishing and Perfecting the Graded Diagnosis and Treatment System (Zheng Yun Ban Fa [20xx] 15), Yunnan Provincial Health and Family Planning Commission, Yunnan Provincial Medical Reform Leading Group Office, Yunnan Provincial Development and Reform Commission, Notice of Yunnan Provincial Department of Finance "Notice of Yunnan Provincial Department of Human Resources and Social Security on Forwarding the Implementation Plan for Assessment and Evaluation of Graded Diagnosis and Treatment Pilot Work by the National Health and Family Planning Commission and other six departments" (Wei Yun Medical Reform Fa [20xx] 1No.) and "Notice of Medical Administration and Hospital Authority of National Health and Wellness Committee on Summarizing Graded Diagnosis and Treatment Work in 20xx" (National Health and Medical Resources Memorandum [20xx
First, the overall goal
Since 20xx65438+1 October1,our hospital has officially decoupled from xx People's Hospital and started the graded diagnosis and treatment independently. In April, 20xx, the construction of "xx Pediatric Specialist Alliance" medical association was successfully completed, the hospital's capacity building was continuously strengthened, and the graded diagnosis and treatment system was gradually established and improved, providing high-quality conditions for primary medical services, further enhancing the primary service capacity, forming a graded diagnosis and treatment model of first consultation, two-way referral, rapid and slow division, and linkage from top to bottom, and gradually realizing the medical treatment pattern of minor illness staying in the countryside, serious illness staying in the county, and rehabilitation at the primary level.
Second, actively publicize.
(1) Strengthen the training of hospital staff. The clinical departments and functional departments of the hospital are trained in the knowledge related to graded diagnosis and treatment, so that each employee can master the purpose, significance and working measures of graded diagnosis and treatment.
(2) Publicity to the public in various ways. Fixed graded diagnosis and treatment publicity exhibition boards are set up in the outpatient hall, and graded diagnosis and treatment publicity leaflets are placed at the guidance office for patients to avoid reading. Each department and floor has graded diagnosis and treatment processes, flowcharts and graded diagnosis and treatment brochures.
Third, performance.
On XX, XX, XX Hospital completed the cooperation with the specialized alliance of XX Hospital. On April 26th, 20xx and our city completed the construction of "xx Pediatric Specialist Alliance" medical association. At present, XX backbone doctors have been sent to the cooperative units of the close-knit specialist alliance to provide counterpart support for the medical association. In XX years and X months, the Dean led a team to Panxi Central Health Center in Huaning County to carry out academic lectures and other itinerant medical work 1 time.
According to incomplete statistics, this year, XX children were transferred to superior hospitals in our hospital, of which more than 90% were transferred to XX hospital and a few were transferred to other hospitals. By transferring patients to make an appointment in advance, the problem that patients are difficult to see a doctor in a higher-level hospital and take a detour to see a doctor is solved, and the communication between our hospital and the higher-level hospital is strengthened; At the same time, with the help of our hospital's counterpart support for township hospitals, patients transferred to the grassroots level can get continuous and complete treatment.
Fourth, the existing problems
Our hospital can transfer patients according to the needs of the disease, but fewer patients are transferred back from higher-level hospitals. At present, most critically ill patients in our hospital are referred to provincial medical institutions, while patients diagnosed in large hospitals can be transferred to county-level medical institutions for further treatment, which is very difficult.
Verb (abbreviation of verb) countermeasures
In order to optimize the medical service level of our hospital, further strengthen communication with superior hospitals and other hospitals, and establish a mutual trust mechanism, so that patients transferred from superior hospitals are willing to return to our hospital for further treatment. At the same time, our hospital should continue to strengthen the training of medical staff in primary hospitals and provide professional and technical support. Only in this way can we better provide high-quality, uninterrupted and continuous two-way referral service for patients, which is the direction of our joint efforts.
Summary of graded diagnosis and treatment in hospitals 3 In order to further promote the development of medical reform and rationally and effectively allocate the existing high-quality medical resources, according to the spirit of the document "Implementation Opinions on Promoting the Construction of Graded Diagnosis and Treatment System in Gansu Province" (Gan Zhengban Fa [20xx] No.49) and the requirements of the Gansu Provincial Health Planning Commission "Notice on Seriously Doing a Good Job in Graded Diagnosis and Treatment and Doctors' Multi-point Practice" (Gan Wei Grass-roots Fa [20xx] No.505), our bureau closely focuses on "ensuring the basics and strengthening the grassroots" The summary is as follows:
I. Work objectives
The establishment of graded diagnosis and treatment system is an important part of deepening the reform of medical and health system. By strengthening the first diagnosis at the grass-roots level, two-way referral, quick and slow points, and establishing a diagnosis and treatment mechanism of up-and-down linkage, resource sharing and continuous diagnosis and treatment of diseases, the rate of medical treatment in the county has reached 90%, and the expenses paid by the masses have decreased year by year, thus achieving the purpose of facilitating the masses to seek medical treatment.
Second, the task
The first is to determine the classified diagnosis and treatment of diseases. According to the requirements of the Implementation Plan of Graded Diagnosis and Treatment in Gansu Province, combined with the actual situation, the implementation plan of graded diagnosis and treatment in liangdang county was formulated. It was determined that there were 100 county-level diseases and 45 township-level diseases in our county, and the reimbursement rate was 75% at the county level and 85% at the township level. It was implemented in the designated medical institutions of the new rural cooperative medical system at the county and township levels, and the payment was implemented according to the diseases. In June this year, according to the requirements of the Implementation Opinions of Gansu Province on Promoting the Construction of Graded Diagnosis and Treatment System (Gan Zhengban Fa [20xx] No.49) and the Supplementary Opinions of the Municipal Health Planning Commission on Further Improving the Construction of Graded Diagnosis and Treatment System (Chang Fa [20xx] 104), the disease types and compensation standards of graded diagnosis and treatment were revised and improved on the original basis.
Second, the reimbursement of medical expenses is based on the disease payment system. For diseases included in graded diagnosis and treatment, designated medical institutions effectively control medical expenses and provide timely settlement services for participating patients on the basis of ensuring quality. The new rural cooperative medical system reimburses medical expenses according to the disease quota, and the excess part is borne by the medical institution itself, and the patient does not bear it. 20xx * * * reimbursed 446 person-times for classified diagnosis and treatment of diseases, and the reimbursement amount was 1 ten thousand yuan. The third is to strictly implement the two-way referral system. According to the policy requirements, we strictly implement the referral policy, explicitly requiring that diseases diagnosed and treated at the same level shall not be referred to higher medical institutions. Except in special circumstances, for patients who go out for medical treatment without approval, the new rural cooperative medical fund will not be reduced until it is not reimbursed.
Third, the main work measures
1. Strengthen publicity and guidance. Our bureau issued 1 10,000 graded diagnosis and treatment notices, clarified the policy requirements such as referral and compensation, and made a lot of publicity through training courses, healthy going to the countryside, and public WeChat platform. This year, a publicity wall chart was printed to support the policy of graded diagnosis, treatment and reimbursement of chronic diseases, which was distributed to villages and medical institutions for interpretation by village doctors.
2. Comprehensively improve the level of diagnosis and treatment technology in county hospitals. In order to carry out graded diagnosis and treatment, county hospitals have established a multi-point practice system for doctors. The provincial people's hospital selected the attending physician to live in the county people's hospital, and replaced the candidate every three months to provide technical assistance. County hospitals employ licensed attending engineers in this hospital to take charge of the daily management of departments and help improve the technical level and service ability of medical services. At the same time, the construction of specialized diseases is strengthened, and intensive care units are being built to improve the ability of emergency services.
3. Stabilize the team of village doctors and improve their service ability. Conscientiously implement the advance and retreat mechanism of rural doctors, and actively attract people with assistant or above qualifications to join the team of rural doctors. Rural doctors in the county 13 township hospitals and 1 16 administrative villages signed chronic disease management service agreements with local people. The team of village doctors has been further optimized, and the service capacity has been improved.
Fourth, the existing problems
1. Lack of medical talents, serious shortage of doctors and nurses in county and township medical institutions, poor medical level and low service ability are the main bottlenecks for improving medical technology in our county. Most graded diagnosis and treatment diseases can't be treated, so they can only be transferred to hospital for treatment, which not only increases the burden of patients' medical expenses, but also conflicts with the current reimbursement mechanism of graded diagnosis and treatment medical expenses.
2. The grading diagnosis and treatment system is not perfect.
The development of graded diagnosis and treatment in our county is short, and there are some inevitable contradictions and problems in the operation process, which need to be continuously improved. The staff of agencies at all levels and designated medical institutions do not have a deep understanding of the grading diagnosis and treatment policy and need further training.
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