The information construction of graded diagnosis and treatment should fully consider the needs of diagnosis, treatment and rehabilitation such as patient appointment, treatment, up transfer and down transfer, and design a seamless information module. For example, the signing module is the premise and foundation of general practice signing and graded diagnosis and treatment, including signing, renewal, termination (suspension), change, referral and other operations. The appointment module has two meanings. One is the appointment between the signing object and the signing doctor, which is called the first appointment; Second, the contracted doctor or contracted institution makes an appointment for diagnosis and treatment in the superior medical institution instead of the patient, which is called referral appointment. The referral module includes up referral (outpatient referral, emergency referral, examination referral, inpatient referral), down referral, rehabilitation referral and discharge referral.

通過分級診療信息化系統(tǒng)的模塊設(shè)計，將區(qū)域內(nèi)的醫(yī)療資源統(tǒng)籌管理起來，便于資源的集中發(fā)布、分配、調(diào)劑。在此區(qū)域范圍內(nèi)的各級醫(yī)療衛(wèi)生機構(gòu)可以實時查詢、申請各類資源，管理和安排簽約對象的就醫(yī)行為，在各級醫(yī)療衛(wèi)生機構(gòu)間形成一個疾病診療的閉環(huán)，提高疾病診療的精準度。

Through the module design of hierarchical diagnosis and treatment information system, the medical resources in the region are managed as a whole, which is convenient for the centralized release, distribution and adjustment of resources. Medical and health institutions at all levels in this region can query and apply for various resources in real time, manage and arrange the medical treatment behavior of the contracted objects, form a closed loop of disease diagnosis and treatment among medical and health institutions at all levels, and improve the accuracy of disease diagnosis and treatment.

信息化系統(tǒng)也是一個與公眾互動的平臺。以網(wǎng)站、移動客戶端（APP）形式面向居民提供就診、用藥、檢驗檢查報告、健康檔案等信息的查詢；提供分時段預約掛號服務，簽約居民可以與全科醫(yī)生互動溝通，并提供健康教育、調(diào)查問卷等服務；居民可實時查閱個人首診預約和轉(zhuǎn)診預約情況，網(wǎng)上變更、取消預約信息。充分利用已有的綜合管理平臺，避免重復建設(shè)；要充分考慮分級診療工作考核指標的設(shè)計，根據(jù)考核指標明確需要收集的量化數(shù)據(jù)。

Information system is also a platform for interaction with the public. Provide residents with queries on medical treatment, medication, inspection reports, health files and other information in the form of website and mobile client (APP); Provide appointment and registration services at different times, and the contracted residents can interact with the general practitioner, and provide health education, questionnaire and other services; Residents can check the personal first visit appointment and referral appointment in real time, and change and cancel the appointment information online. Make full use of the existing comprehensive management platform to avoid repeated construction; We should fully consider the design of assessment indicators for graded diagnosis and treatment, and clarify the quantitative data to be collected according to the assessment indicators.

考核指標有簽約率、簽約知曉率、簽約醫(yī)生知曉率、簽約醫(yī)生就診率、預約門診率、預約到診率、預約轉(zhuǎn)診率等，各地再根據(jù)階段性工作重點，有選擇性地設(shè)置考核指標。有了這些指標，醫(yī)療衛(wèi)生機構(gòu)內(nèi)部可以對簽約、首診、轉(zhuǎn)診進行分析監(jiān)管，衛(wèi)生行政部門也可以對下屬醫(yī)療衛(wèi)生機構(gòu)進行有效監(jiān)督管理，并為機構(gòu)、科室和個人的績效考核提供科學、翔實、連續(xù)的電子數(shù)據(jù)。構(gòu)建F-B-D（家庭-機構(gòu)-醫(yī)生） 三者連通的診療醫(yī)療服務平臺

Assessment indicators include signing rate, signing awareness rate, signing doctor awareness rate, signing doctor treatment rate, appointment outpatient rate, appointment arrival rate, appointment referral rate, etc. assessment indicators are selectively set according to the phased work priorities. With these indicators, the medical and health institutions can analyze and supervise the signing, first diagnosis and referral, and the health administrative department can also effectively supervise and manage the subordinate medical and health institutions, and provide scientific, detailed and continuous electronic data for the performance evaluation of institutions, departments and individuals. Build a diagnosis, treatment and medical service platform connected by f-b-d (family, institution and doctor)

大力推進家庭醫(yī)生服務模式，堅持家庭醫(yī)生首診制（而非“基層首診”），真正使家庭醫(yī)生對居民實行全程的、連續(xù)的、個性化的健康管理和照顧。這不僅有利于居民健康，而且還有利于和諧醫(yī)患關(guān)系，甚至是和諧社會的建設(shè)。當每位居民都擁有了自己的“保健醫(yī)生”時，居民幸福指數(shù)自然也會增加。加快信息化系統(tǒng)建設(shè)。

Vigorously promote the family doctor service model, adhere to the family doctor first visit system (rather than the "grass-roots first visit"), and truly enable family doctors to implement the whole process, continuous and personalized health management and care for residents. This is not only conducive to the health of residents, but also conducive to the harmonious doctor-patient relationship, and even the construction of a harmonious society. When every resident has his own "health doctor", the happiness index of residents will naturally increase. Speed up the construction of information system.

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