| On September 8, 2015, the General Office of the State Council issued the "Guiding Opinions on Promoting the Construction of a Hierarchical Diagnosis and Treatment System". Opinions were put forward in four aspects, including improving the guarantee mechanism for hierarchical diagnosis and treatment, and organizing and implementing them. Hierarchical diagnosis and treatment refers to grading according to the severity, severity, slowness and urgency of the disease, as well as the difficulty of treatment. Medical institutions at different levels undertake standardized treatment respectively. Realize the first diagnosis and two-way referral at the grassroots level. The hierarchical diagnosis and treatment of osteoporosis needs to construct a new conceptual unit, proposition and theoretical system. Its structural entities include: individuals, departments, primary hospitals, the secondary hospitals, tertiary hospitals, integrated service systems and other multi-layer organizational frameworks. The hierarchical diagnosis and treatment of osteoporosis is the whole process of management of osteoporosis patients, early detection, early diagnosis, and early treatment. The people who are managed throughout the whole process can be divided into four groups: normal bone density, osteopenia, osteoporosis, and severe osteoporosis. For each group of people, a corresponding prevention and treatment plan is formulated, smooth referral, continuous treatment, upper and lower linkage, and closed-loop management. The purpose of this consensus is to promote the hierarchical diagnosis and treatment of osteoporosis. |