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2015年9月,国务院专题部署了推进分级诊疗制度建设、合理配置医疗资源方便群众就医的工作。调研发现,该政策在执行过程中还存在基层首诊难落地、患者就医习惯难改变、医疗机构对转诊的积极性难调动等问题。导致这些问题的原因主要有:一、医保政策分流引导作用差。目前医保支付比例在各层级医院之间差距不大,最大仅为15%;且在双向转诊实施过程中,患者就医自由度较高,医保政策分流引导作用较差。二、基层医疗服务能力弱,难以承担
In September 2015, the special project of the State Council deployed the work of promoting the construction of grading medical treatment system and rational allocation of medical resources to facilitate medical treatment of the masses. The survey found that there are still some problems in the implementation of the policy such as hard-to-find primary care at the grass-roots level, difficulties in changing medical treatment habits of patients, and difficulties of medical institutions in mobilizing referrals. The main reasons leading to these problems are: First, the diversion of health care policy guidance is poor. At present, the proportion of medical insurance payment in all levels of hospitals is not much difference, the maximum is only 15%; and in the two-way referral implementation process, patients with higher freedom of medical care, medical insurance policy diversion guidance is poor. Second, grassroots medical service capacity is weak, it is difficult to bear