为积极跟进重大政策措施的具体部署、执行进度和实际效果情况,湖北省审计厅对全省部分县级公立医院分级诊疗的推进情况进行了审计调查。审计调查结果显示,县级公立医院在推进分级诊疗的进程中,存在基层医疗卫生资源配置不合理,乡镇服务承接能力差病员流失严重等问题,笔者在分析其产生原因的基础上,提出推进完善分级诊疗制度的策略。 In order to actively follow up the concrete arrangements, implementation progress and actual results of major policy measures, the Auditing Department of Hubei Province conducted an audit investigation on the progress of grading medical treatment at some county-level public hospitals across the province. Audit findings show that the county-level public hospitals in the process of promoting the grading of medical treatment, there is the grassroots health care resources allocation is unreasonable, poor service ability to undertake serious problems such as the township, the author on the basis of analysis of its causes, put forward to promote the improvement Tactics of grading medical treatment system.