Causes of difficulty of getting medical treatment and admission in large hospitals and unused resources in community healthcare service institutions

We staged this study in view of the sharp rise in workload for outpatients and emergency services,and long appointment duration of outpatients and hospital admission in large hospitals,as well as unused resources at community healthcare centers at large in the city.Results of the study indicate that the development of large hospitals in the past 30 years is basically in line with the social and economic development in general;difficulties getting medical treatment and admission in large hospitals result mostly from sharp rise in migrant population,fast rise of medical service demand,inverted proportion of medical service demands,low efficiency at hospitals,traditional concept on medical service seeking,poor guidance of medical insurance policy,and incompetence of community healthcare institutions.Based on these findings,it proposed the following countermeasures:Adjust medical insurance policies to advocate the first-treatment in communities and dual-referral practices,aiming at furthering capabilities at grass-root healthcare units;optimize medical service process and efficiency at large hospitals;study and develop preferential policies to encourage and step up the development and speed of private hospitals to ease the aforesaid difficulties,and to fully leverage resources at community healthcare institutions. Key words: Difficulty of getting medical treatment and admission in hospitals; Community healthcare service institutions; Resources use; Countermeasures