部分国家和地区分级诊疗特点及启示

通过剖析部分国家和地区分级诊疗的特点，即分级诊疗是医疗卫生服务体系健全的自然结果,分级诊疗的实质在于服务整合,合理的支付制度是分级诊疗的重要促进因素；提出以强基层、建机制的原则发展分级诊疗，将医疗机构分工合作、服务功能整合作为分级诊疗的重要路径，增强医保对医疗服务体系的影响力以促进分级诊疗等建议。

Characteristics and Implications of Hierarchical Diagnosis and Treatment System in Some Countries and Areas

The article deeply analyzed the characters of tiered health care system in some countries or areas, including that tiered health care system is evolutional results derived from the proper health care system, especially the strong grassroots health system, the essence of tiered health care system is service integration, appropriate payment system is the promoting factor for tiered health care system. It is suggested that tiered health care system should be promoted based on principles of enhancing grassroots health system and establishing mechanism, the pathway of cooperation between all kinds of medical institutions and integration of services be followed, and the influence exerted by payment system on health care system be enhanced.