Three typical cases of grade clinic floor and facing the four major problems

Internet graded clinics since the last written after the author and many medical practitioners chatted basic status classification diagnosis and treatment, it has also participated in many mobile medical forum. But it found that tiered treatment model are many, mobile medical players also gives different ideas, can talk mode only for grading clinics yourselves, really want to achieve grade treatment depends on how the floor, and even said Can landing.
Of course, we first look at the current concern of the four grading treatment model, it has a kind of common ground and differences between them.
First, from being talked about a lot of national experts "American model" is concerned. Obama's health reform plan several times to become the world's focus of attention, even if the health care system is highly developed United States still faces a number of medical problems. American health care system was graded clinics rely on the family doctor system, a preliminary diagnosis and treatment by a family doctor, and then sent to the appropriate patient to the hospital, and then by a nurse or doctor for further emergency triage according to critical indices. In other words, the patient will first find a family doctor, a family doctor can not solve the disease re-triage to hospital for treatment specialist, to a large extent eased the pressure on hospital visits.
The next thing to say is "British model", the British medical system of classification as a practice of the earliest and most stringent Western countries, medical grade British welfare system has become typical. British health system implemented a strict hierarchical system, broadly speaking there are three, one community general practice, the second is a comprehensive general hospital, and finally to the emergency and major incurable diseases as the main business of teaching hospitals. High-end private physician services focused on micro number kgn091 medical industry. Apparently, the British medical grade in the system to have a great advantage, it can be said grading clinic just a derivative large health care system, in addition to grading treatment, including medicine and separate, square sale of drugs and doctor appointments. The World Health Organization was called the Chinese and the British medical classification of the "troika", its importance is evident.
However, given the complexity of the medical system and the public's habit medical point of view, I am afraid that the Anglo-American system of classification treatment are difficult to replicate at home. At present, 16 provinces and cities are exploring the feasibility of hierarchical diagnosis and treatment, but also the gradual improvement of the institutional mechanisms of hierarchical diagnosis and treatment.
Finally the Internet hierarchical treatment. In Internet + background, rely on the Internet for health care system reform has become a trend, for grading clinic, many mobile medical enterprise programs generally have the following. First Micro Medical Group "micro health model", its essence is through the Internet to achieve grade domestic treatment programs have been developed for collaboration between doctors via the Internet, according to the disease to match the corresponding medical team is triage, and using the Internet to establish a medical file. Second, Baidu, etc. are doing online interrogation mode, providing intelligent triage services through big data analysis, and according to the characteristics of clinical experts, patients push match. Third, mobile medical resources entrepreneurs pointed at doctors, trying to use the Internet to achieve the "free exercise medicine" to establish a health care system outside the reality of Internet health care system, and to explore a series of hierarchical diagnosis and treatment.
As can be seen, grading clinic system in Europe and America and other developed countries to provide a corresponding template, the country will also formally shouted slogans tiered treatment. However, as previously said, while the country has 16 provinces and cities in the exploration grading clinic, has how kind of status quo, and the Internet and has a kind of opportunity. We would also like to begin with the three typical landing cases.

1, primary care doctors how to improve the professional capacity?
Shanghai by general practitioners in more than a decade of training courses for nearly 4,000 general practitioners, while in other areas outside of Shanghai, the situation is even worse, especially in the west, many primary care doctors or troops came from Dr. Yu Chijiao medical positive soldiers. Currently, the mobile medical solutions, there are three, one settled in to provide some training opportunities for doctors, and thus attract more doctors to enter, from a practical standpoint, a gimmick than substance. The second is to promote cooperation and exchanges between doctors and other health through micro APP, on the one hand to improve internal communication and learning mechanism of the medical team, such as micro doctors each medical team set up a team of assistants is; on the one hand to strengthen the collaboration between different medical teams , especially in the triage medical team will conduct disorders and accurate matching. Third, telemedicine, that is, from mobile health APP doctor for help to get more opportunities, and to improve the ability of primary care doctors in triage. Many mobile medical companies keen on this, also proved to be an effective way. For mobile health, the doctors will be key to future resources knockout.
2, the Internet how to develop triage standards?
Even on the Internet go furthest medical grade micro Pharmaceutical Group, the triage criteria still rely Dr. Yu Shouzhen of experience, and then make the appropriate match. Although micro Medical Group Online triage team assistant has been a 8500 people, also in the accurate triage successes, we are still facing a shortage of triage standard short board. Mature rating in foreign medical system in Australia to develop a triage scale ATS, Canada has seized hurt urgent Scale CTAS, the United States also have emergency critical index ESI. Although the country will also have the appropriate emergency triage criteria, it does not seem to apply to the Internet graded clinics, whether doctors or other mobile medical micro enterprises, the importance of early formation of a more standardized triage criteria, rather than rely solely on experience.
3, how to improve the confidence of patients and primary care physicians?
Many people chose as the preferred tertiary hospital to see a doctor, the fundamental reason is distrust of primary care doctors, especially in the case of the high rate of misdiagnosis of primary care doctors, in addition to improving medical standards of primary care doctors, and using the Internet to reduce the misdiagnosis rate, and improve the doctor-patient trust without delay. Mobile medical doctors practice is to implement the responsibility system, similar to the pattern in Minhang signing community physicians. Indeed, there is provided a mobile medical team of medical experts APP is the responsibility of supporting and providing health care resources and referral consultation of the green channel, to a certain extent, in favor of the doctor's responsibility to implement. However, as soon as possible to move the medical health management and medical insurance is connected between the people and the responsibility of a team of doctors, doctor's responsibility to solve the income problem and mutual distrust.
4, how to improve the ability of community hospitals?
While some radical moves the company made to the hospital for medical technology, but micro medicine, Baidu, Ali and other mobile medical players and community hospitals knife Ge did not meet, but the community hospitals as an important part of the Internet hierarchical diagnosis and treatment, it faces question is how to improve the ability of community hospitals. Observation, there are two possible ways, first establish a remote diagnostic system to address community issues hospitals lack medical equipment, currently remote ECG has begun into the market, the mobile health care system is indispensable. Second, get the county medical resources, national classification county hospital clinic's goal is to be able to solve 90 percent of the disease, coupled with lower domestic higher hospital trusteeship reform, the strengthening of cooperation and the county hospital is not much ado about nothing.
Anyway, bottlenecks community hospitals and primary care physicians are graded clinics where, for all the mobile medical clinics to promote grading company and related sectors, the simple chat mode instead to work on primary care resources, medical grade floor but is paper Bale(Bolise Co., Ltd  www.acridine-raw-material.com)