At this year's NPC and CPPCC sessions, some members of the Chinese People's Political Consultative Conference (CPPCC) focused on the coordination of the three-level medical system and suggested strengthening guidance to make the functions of different hospitals clearer. For common and common diseases, go to a second level or community hospital, and for difficult and complex diseases, go to a third level hospital to avoid letting "doctors in a third level hospital see very common diseases, even when dispensing drugs.". For a moment, the topic of "Don't go to a tertiary hospital for common diseases" has once again aroused heated discussion. Is the expert's suggestion correct? Actually, it's right. Whether it is based on the current hierarchical diagnosis and treatment system being vigorously implemented in China or the current situation of foreign hierarchical diagnosis and treatment systems, it is far more beneficial than harmful to minimize the tasks of diagnosis and treatment of common and common diseases that tertiary hospitals need to undertake. Each hospital has a limited number of beds, a limited number of doctors, and a ceiling on the number of patients it can receive. To ensure the quality of each doctor's practice, it is necessary not only to give doctors sufficient time for diagnosis and treatment, but also to provide them with time for continuous study and scientific research. In particular, tertiary hospitals also undertake many tasks in the medical system, such as medical research, talent cultivation, and tackling difficult and complex diseases. Based on practical considerations, when a large number of patients with common and common diseases flood into tertiary hospitals, doctors in tertiary hospitals are likely to fall into a state of exhaustion. This is also one of the important reasons for tension in the doctor-patient relationship: Due to the large number of outpatients per day, the consultation time allocated to each patient will be significantly reduced, which over time will reduce the patient's medical experience, and even lead to patients questioning the responsibility of the consulting doctor. In addition, the influx of a large number of patients into tertiary hospitals will also lead to difficulties in registering and seeing doctors, spawning black and gray industries such as "scalpers", which will further exacerbate the tension between doctors and patients. The above issues have a long history, and the logic behind them is shared by experts and the public. However, when getting sick and needing medical attention, many people's first reaction is to go to a tertiary hospital, because they often have doubts about the medical level of primary medical and health institutions. This reality is the reason why the public hopes to take the suggestion that "common diseases should not go to tertiary hospitals" one step further. How to make the public dare to trust other medical institutions other than tertiary hospitals is a key point in promoting the hierarchical diagnosis and treatment system, and is also the best way for relevant departments to respond to the recommendation that "do not go to tertiary hospitals for common diseases". "To make people trust secondary, primary, and grassroots medical and health institutions, in general, is to make people willing to trust the doctors in these" small "hospitals who also specialize in the field of medicine.". To achieve this, the first thing to do is to balance the allocation of medical resources to ensure that medical personnel can stay in "small" hospitals, are willing to study and be responsible. In terms of personal growth, career advancement, professional learning, and many other aspects, tertiary hospitals have far more resources than other medical institutions, which means that young medical graduates are more willing to go to tertiary hospitals, and medical workers from non tertiary hospitals will also find ways to move upward. Only if "small" hospitals also have the attraction for excellent talents can they have the ability to trust patients. Of course, it is not enough to make people willing to trust "small" hospitals, not go to tertiary hospitals to see common and common diseases, and just let grassroots medical institutions retain talent. Many patients choose a tertiary hospital for treatment
Edit：Ying Ying Responsible editor：Jia Jia
Source：GMW.cn
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