Objective: In order to study the status of implementation of West NWFP cities "1+1+1" classified diagnosis and treatment pattern; Understanding issues and challenges of implementation; Putting forward the solution to problems. Methods: Qualitative and quantitative research methods were used in this study. The main source of information from interview,network research and questionnaire survey. The method is to extract randomly three provinces' 18 hospitals, 18 community health service centers and 600 community residents to develop survey in Yunnan, Guizhou and Guangxi province so that we can learn of their recognition and attitude about the relevant implementation of this pattern. Results: Most of hospitals, community health service centers, community residents are welcomed to "1+1+1"classified diagnosis and treatment pattern, but they believe that there are many difficulties in the process of implementing. Conclusions:Suggesting improving the levels of medical service, building mechanism of power and prestige image construction. At the same time, we should implement flexibly step by step. Recommending the system for monitoring exposure and improve the compensation system as well as family doctors group dynamics mechanism and professional evaluation.%目的-调研西部边疆省城市"1+1+1"分级诊疗模式实施状况,了解实施问题及难题,提出难题破解建议.方法-采用访谈、网络调研和问卷调查定性、定量相结合的研究方法,随机抽取云南、贵州、广西三省的18家二、三级医院、18个社区卫生服务中心和600位社区居民三大层面对该模式相关实施的认识及态度展开调查.结果-三大层面均欢迎该模式,但都认为实施存有诸多难题.结论-建议加强该模式各个层面的水平与动力促进机制及信誉形象宣传建设,并予以灵活地分步实施;建议实施问题监督暴光问责追究制和完善的补偿制、以及家庭医生团队活力运行机制及其专业水平评估.
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