Evaluation of the Operational Effectiveness of Grading Diagnosis and Treatment System in China

Abstract

To analyze the effect of hierarchical diagnosis and treatment in different levels of medical institutions in China, and to provide scientific basis for improving the hierarchical diagnosis and treatment system in China. The DEA model and Malmquist index model were used to analyze the operation effect of grading diagnosis and treatment of medical institutions in China from 2009 to 2017. The level of hierarchical diagnosis and treatment efficiency of medical and health institutions in China is low. The large hospitals in the eastern region and grass-roots hospitals in the whole country are on the low side. There is a situation of blind expansion and surplus of health technicians in large hospitals. The comprehensive efficiency of grass-roots hospitals is slightly higher than that of large hospitals. The insufficient number of beds and health technicians leads to the deterioration of their efficiency. China's hierarchical diagnosis and treatment operation effect is not good, large hospital emergency sinking is insufficient. Technical progress is slow. The basic hospital facilities and lack of talent is the main reason restricting the efficiency of grading diagnosis and treatment. Speeding up online diagnosis and intelligent diagnosis layout to crack general practitioner(GP) supply bottleneck, building a close medical association and realizing the rational distribution of medical resources. Keywords—grading diagnosis and treatment; effect assessment; DEA-Malmquist