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Institutional Obstacles and Suggestions about Implementation of Chinese Tiered Medical Pattern

机译：制度障碍与中国分层医学模式实施的建议

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摘要

Tiered medical pattern which contains primary diagnosis, two-way referral, separate treatment of acute and chronic illnesses, operation between upper and lower medical organizations depends on smooth operation and coordination of medical management system. By analyzing current relative system in China, it is assumed that the main reasons for the difficulty in establishing the tiered medical system are that administrative hierarchy system leads excellent medical resources to aggregate in higher level hospital, two-way referral system is not perfect, and good medical culture has not yet formed. Therefore, classified medical care mode must be realized through reforming the salary system, management system, referral system, and the cultivation of reasonable medical treatment culture.
机译：含有初步诊断的分层医学模式，双向转诊，单独治疗急性和慢性疾病，上下医学组织的操作取决于医学管理系统的平稳运行和协调。 通过分析中国目前的相对系统，假设难以建立分层医疗系统的主要原因是行政等级系统导致高层医院汇总的优秀医疗资源，双向推荐系统并不完美，而且 尚未形成良好的医疗文化。 因此，通过改革薪资系统，管理系统，转诊系统以及合理的医疗文化的培养，必须实现分类的医疗模式。

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