许多患者因对基层医疗水平不放心,生病便到大医院就诊,于是大医院负荷重,看病难问题突显。有管理专家说,以省市大医院做后盾的“连锁店”让专家下沉基层,就能截留大多数普通病人,减轻大医院的“战争状态”。专家的设想不无道理,但笔者认为,就目前医疗管理机制体制、相关政策和大多数大医院的运营管理理念及对此所持的态度而言,实施县乡村一体化“连锁店”更简便易行,符合基层医院、医保和患者三方的实际需要。 Many patients because of the level of medical care at the grassroots level do not worry, they went to the hospital for treatment, so a large hospital load, medical problems are highlighted. Some management experts say that with the “chain stores ” that are backed by large hospitals in provinces and cities, experts can sink to the grassroots level, so that most ordinary patients can be intercepted and the “war status ” of large hospitals reduced. The idea of ​​experts is not unreasonable, but I believe that the current system of medical management mechanisms, policies and operations management philosophy of most major hospitals and the attitude held in this regard, the implementation of county and village integration “chain ” more convenient Easy, in line with the grass-roots hospitals, health insurance and patients with the actual needs of three parties.