Zhongguo quanke yixue (May 2024)

Policy Analysis on Children's Hierarchical Medical System between Beijing and Shenzhen

  • LIU Shuyan, YAO Mi, ZHANG Jiawei, QI Zhennan, QI Jianguang, XIAN Junfang, CHI Chunhua

DOI
https://doi.org/10.12114/j.issn.1007-9572.2023.0110
Journal volume & issue
Vol. 27, no. 13
pp. 1550 – 1555

Abstract

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Background In order to solve the children's medical dilemmas of poor accessibility and high cost, a hierarchical medical system has been carried out in our country. No systematic research on policy analysis of children's hierarchical medical system has been reported in China at present. Objective Beijing and Shenzhen are the first pilot cities of the hierarchical medical system, but there are obvious differences in the status of community health services for children. This study aims to explore the impact of policies on community health services for children by analyzing the policies in these two cities. Methods According to the research framework of policies on community health services developed by an expert group (community first contact care, dual referral, medical alliance, salary compensation mechanism, pediatric professional training, publicity, rural medical accessibility), policy documents about hierarchical medical services for children were searched from the official website of Beijing Municipal Government, Beijing Municipal Health Commission, Shenzhen Municipal Government, and Shenzhen Municipal Health Commission. Compare the number and content of policies that meet the inclusion and exclusion criteria in the two cities and analyze similarities and differences. Results Thirty-five policy documents that fit the research framework were selected from 6 953, of which 27 were from Beijing and 8 from Shenzhen. Both cities have policies on medical alliances, wage incentives and pediatric training. Compared with Shenzhen, Beijing has policies on publicity, and rural medical accessibility, but not on community first contact care and dual referral. Conclusion It may be of great significance to improve the situation of community health services for children by implementing the community first contact care or increasing the gap in medical insurance payment ratio, completing the indications for dual referral, promoting the medical alliance, salary compensation mechanism and training of pediatric skills policies.

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