Theoretical framework, implementation path and evaluation system of the Tiered Diagnosis and Medical Treatment in China: a literature analysis

The aim of the study is to discuss the construction of the theoretical framework of the Tiered Diagnosis and Medical Treatment (TDMT) and to summarize the implementation path and evaluation system of TDMT in China. Relevant theories on TDMT such as six modules for health system recommend by World Health Organization (WHO) were used for references in the study. We found that although the promotion modes of the TDMT vary from place to place, the way to achieve the same goal is to allocate medical resources more effectively through stakeholder games in the structure and process of the TDMT, and ultimately achieve the first-visit, integrated, continual, less burden and more satisfactory health system. It is suggested that all regions should systematically promote the TDMT on the basis of comprehensive assessment of health development, draw lessons from history and refer to international experience so as to make up for the lack of experience.