推进分级诊疗的两种传统思路·以基本医疗保险偿付和结算政策为杠杆,引导参保者和服务者分级就医和诊疗。·重构医疗服务市场,形成分级的医疗服务体系,如医疗机构集团化和医联体化。实践中,以上两种推进路径效果均有限,患者向高级别、高质量医疗服务集中的趋势没有改善。 Two Traditional Approaches to Advancing Hierarchical Clinics • Leverage Medicare reimbursement and settlement policies as leverage to guide the participation of insured persons and servants in grading medical treatment and treatment. Reconfigure the medical service market to form a hierarchical medical service system, such as the mass organization of medical institutions and medical integration. In practice, the above two approaches have limited effectiveness and the patient’s trend of concentrating high-quality, high-quality medical services has not improved.