目前,全国很多地区都在探索建立分级诊疗制度,但改革的出发点有所不同,改革的成效和难点也会不一样。有些地方改革出发点是为了缓解老百姓看病难,让老百姓在家门口就能看病。这种从患者的角度推行分级诊疗的改革,要避免两种可能发生情形:由于医疗机构规划和设置等问题导致分级诊疗后患者看病更加不方便,或是尽管患者留在家门口看病,但基层的医疗能力不足,不能让患者看好病。如果出现这两种情况,那么改革方案就需要相应的调整和细化。 At present, many regions across the country are exploring the establishment of a hierarchical medical treatment system. However, the starting point for the reform is different. The effectiveness and difficulties of the reform will also be different. In some places, the starting point of reform is to ease people’s difficulties in seeing a doctor so that ordinary people can see a doctor at their doorstep. This kind of reform from the patient’s point of view on the implementation of graded medical treatment should avoid two possible situations: the medical treatment of patients after grading medical treatment is more inconvenient because of the problems such as the planning and setting of medical institutions, or even though patients stay at home to see a doctor, Insufficient medical capacity, patients can not be optimistic about the disease. If these two situations arise, then the reform plan will need to be adjusted and refined accordingly.