ABSTRACT
The choice of hospitalization behaviors among agricultural transfer population plays an important role in promoting the system of hierarchical diagnosis and treatment. The data of 2014 National Floating Population Dy-namic Monitoring Survey was used to study the influencing factors of the choice of hospitalization behaviors among 6168 agricultural transfer population who needed hospitalization and find out the influencing factors of their hospitali-zation choice. The results of this study show that 85.7% of agricultural transfer population chooses hospitalization when there is hospitalization demand. Among the people who choose to be hospitalized,70.6% of agricultural trans-fer population chooses to be in the local hospital, and 55.8% of the agricultural transfer population chooses to be hospitalized at the county level and below. Gender, age, marital status, education level, economic status, mobility characteristics,reasons for hospitalization, health education and health records have different effects on agricultural transfer population's choices of hospitalization behaviors. Health insurance has an impact on the choice of hospital and hospital location,but doesn't play a guiding role in hospital level selection.
ABSTRACT
The article reviewed the current status, reform measures and progress of the tiered medical services in Zhejiang province, and analyzed main roadblocks in such a system.Proposals made in the paper include such reform measures as further expanding quality medical resources of better talents and equipments to enhance primary medical institutions;forming the gatekeeper practice featuring firstvisit at community health centers with enhanced primary capabilities;insisting on joint reform of medical treatment, medical insurance and drugs, promoting the development of tiered medical services and utilization efficiency of medical resources in the province.
ABSTRACT
The paper introduced the attempts made by the hospital in the ongoing health reform.The hospital encouraged incentives of the medical workers to take part in the reform,as they upgrade their work in high quality nursing care,outpatient appointment registration,better specialist outpatient clinic service,and tiered medical services.These efforts help innovate medical services for fulfillment of goals of the health reform.
ABSTRACT
Description of the practice, significance and principles of networking operation for primary medical institutions in Shenzhen, and an introduction to the strategy and implementation assurance. The paper covered the following features of such operation: establishment and upgrading of the primary patients movement system; establishment of the tiered health service system; establishment of the consultation and referral system based on networking operation; establishment of multi-institution practice system for physicians within the network; establishment of medical resources sharing system within the network; support for joint research programs; experiment in effective medical insurance payment and health service price support system; diversity and loose structure of institutions within the network