Implementation on hierarchical medical system in Futian taking the hospital for prevention and treatment of chronic disease as the bridge

Objective To implement and evaluate hierarchical medical system in Futian taking the hospital for prevention and treatment of chronic disease as the bridge. Methods To establish the hierarchical medical system by series of measures:building regional medical association, promulgating hierarchical medical programme, taking the Futian hospital for prevention and treatment of Chronic Disease as the bridge, Setting up a discipline alliance, Enhancing the ability of health care, modifying two-way referral service process, information construction. The overall situation effect of the hierarchical medical system was evaluated. Results Hierarchical medical system in Futian has been established successfully since June, 2016. Evaluation shown that the hierarchical medical system was running well, the priority registration, priority admission, priority examination, and priority hospitalization service for the patients were implemented, and collaboration between general practitioners and specialists were significantly was improved. The number of patients with hypertension and diabetes attending community health center increased by 18.2% and 26.9% compared with the same period before implementation of hierarchical medical system. The increment speed of standardized management for hypertension and diabetes patients were more than 3 times and 2.18 times compared with the same period before implementation of hierarchical medical system. There were 3 057 patients referral to the community health center from hospital, while there was no patients' referral to the community health center before June, 2016. Conclusion The effect of the hierarchical medical system in Futian taking the hospital for prevention and treatment of chronic disease as the bridge is Satisfied, which is worth extending.