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<p style="">新医改以来,分级诊疗、强基层一直都是重点,县级医疗市场增长快速,但是离最理想的状态仍有较大的差距,大医院尤其是知名的三甲医院仍是人满为患,离达到县域就诊率达到90%,基本做到就诊不出县仍有很大差距。</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />近日,卫计委印发通知,将500家县医院列入了全面提升县级医院综合能力第一批名单。县级医院的市场大发展真的要来了?</p><p style=""><br /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><em style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">全面提升县级医院综合能力</em></span><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><em style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">第一阶段</em></span></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><em style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">500家县医院名单</em></span></p><p style=""><img src="http://mmbiz.qpic.cn/mmbiz/MdiaugFxELrkoQUPN8lgWqnicI1gwsqpwg9NfSAlV5mbGuvjrntgYeOg3M8xweZRyxO3CG1hvh8ucSb3Xfa9gTFw/0" data-s="300,640" data-ratio="27.17105263157895" data-w="380" src="http://mmbiz.qpic.cn/mmbiz/MdiaugFxELrkoQUPN8lgWqnicI1gwsqpwg9NfSAlV5mbGuvjrntgYeOg3M8xweZRyxO3CG1hvh8ucSb3Xfa9gTFw/640?tp=webp" style="margin: 0px; padding: 0px; box-sizing: border-box !important; word-wrap: break-word !important; visibility: visible !important;" /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(0, 112, 192);">从入围数量看县级医院重点市场</span><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />2014年8月,卫计委印发《全面提升县级医院综合能力工作方案》(国卫医发〔2014〕48号,以下简称《方案》),第一阶段即(2014年-2017年),卫计委要遴选出500家县级医院,并进行重点培养。</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />对于遴选出来的省级卫生计生行政部门(含省级中医药管理部门)、县政府、支援医院、县级医院签订四方责任书,确定年度和3年目标,明确各方的责任、权力、措施。对口支援双方医院、职能部门、临床科室间签订对口支援协议。</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />经过任务层层分解后,预计县级医疗机构的诊疗水平和诊疗能力都将得到很大的提高。</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />浏览县级医院的名单可以发现,在县级医院在数量分布上各省并不平均。四川省以48家县级医院入选拔得头筹。</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />浙江省和江苏省有39个县级医院,河北省和山东省都有35个县级医院;上述四个省份以超过30给医院入围第一梯队。</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />湖北25,陕西26,广东25,山西 20,福建20(以上均是入围县级医院个数,下同),将之归为第二梯队;</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />河南18,安徽18,云南18,贵州15,广西15,黑龙江13,江西12,湖南11,新疆10,内蒙古10,辽宁10,吉林10,这算是第三梯队;</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />甘肃9个,青海9,宁夏3个,海南3个,北京 1,上海1,重庆1,西藏1。这些算得上是县级医院中少数派。</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />分析上面的县级医院的分布可以看出,四川毫无疑问将会成为县级医院发展最快的市场,四川成为西部经济发展的中心,未来也将成为西部诊疗的中心,强烈看好四川医药市场的发展。</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />此外,入围第一的浙江、江苏、山东、河北,这四个省份目前在中国医药市场中排名靠前,未来县级医院的发展将带来医院市场大发展。</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />入围第二梯队的省份,虽然从数量上来说稍显逊色,但是由于是广东、福建这样的经济大省,其背后增长不容小觑。</p><p style=""><br /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(0, 112, 192);">重点科室和重点市场</span><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />按照卫计委的规划,对于县级医院主要做一下工作。加强临床重点专科建设,提升县级医院医疗技术水平,并配备与专科建设目标一致的适宜设备。</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />县医院除了将健全一级诊疗科目,还逐步完善二级诊疗科目。有内科、外科、妇产科、儿科、眼科、耳鼻咽喉科、口腔科、精神科、感染性疾病科、急诊医学科、康复医学科、重症医学科、麻醉科、医学检验科、医学影像科等一级诊疗科目,逐步开设独立的心血管内科、呼吸内科、消化内科、肾病学、神经内科、内分泌科、普通外科、骨科、神经外科、泌尿外科、胸外科、妇科、产科、儿科、小儿外科等二级诊疗科目。</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />加强临床薄弱专科建设。通过引进人才、改善硬件条件、派驻人员支援等措施,加强近三年县域外转诊率排名靠前病种所在的薄弱临床专科建设。</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />加强临床核心专科建设。重点开设完善发挥核心作用的一级和二级诊疗科目,提升外科手术、重症医学科、血液透析和腹膜透析服务能力以及医院感染控制水平,推广适宜的内镜微创诊疗技术,使县域内常见病多发病能够在县医院得到规范化的诊疗。</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />加强病理科、医学检验科(临床体液、血液,临床微生物学,临床化学检验,临床免疫、血清学,分子生物学等专业组)、医学影像科(X线诊断、CT诊断、磁共振成像诊断、超声诊断、心电诊断、脑电及脑血流图诊断等专业组)和消毒供应中心的能力建设。</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />扩大病种覆盖面。诊疗病种范围包括县域内所有常见病、多发病,能够确诊大多数疑难病和重大疾病,普通外科、骨科、胸外科、神经外科、泌尿外科能够开展本专业大多数常规手术,内镜微创治疗病例和全身麻醉比例逐年提高。</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />此外,县中医医院也将得到重点发展。在科室、临床薄弱专科建设建设、综合服务能力等方面基本上是要做到和县医院看齐。不过,在具体上更强调突出打造中医特色专科。</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />加强针灸科、推拿科、骨伤科、脑病科、脾胃病科、妇科、肛肠科、肿瘤科等具有中医特色的专科建设,引进应用中医医疗技术,提高中医优势病种诊疗能力。</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />提高医院综合服务能力。重点提升医院外科手术能力、医院感染控制水平、重症医学科能力、血液透析和腹膜透析水平和急诊急救水平,推广适宜的内镜微创诊疗技术,保障医疗质量和医疗安全。</p><p style=""><br /></p><p style="">通过以上分析,常见病多发病治疗水平将得到提高,肿瘤等重大疾病治疗也将下到县级医院;中医将得到发展。</p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />按照卫计委的规划,2017年以后,即2018-2020年是全面提升县级医院综合能力的时期。到2020年,力争使我国90%的县医院、县中医医院分别达到县医院、县中医医院综合能力建设基本标准要求,50%的县医院、县中医医院分别达到县医院、县中医医院综合能力建设推荐标准要求。</p><p style=""><img src="http://mmbiz.qpic.cn/mmbiz/rz7R73cuHRrv6jdOCoJeZmYwvEAIoHpY0a7yJL2egiaEokLTpwkIsIRTzTFUic09aEThKHS4hrEcSqU0lAS3tu5g/0" data-ratio="0.14784394250513347" data-w="487" width="auto" width="auto" src="http://mmbiz.qpic.cn/mmbiz/rz7R73cuHRrv6jdOCoJeZmYwvEAIoHpY0a7yJL2egiaEokLTpwkIsIRTzTFUic09aEThKHS4hrEcSqU0lAS3tu5g/0?tp=webp" style="margin: 0px; padding: 0px; box-sizing: border-box !important; word-wrap: break-word !important; visibility: visible !important;" /></p><p style=""><legend style="margin: 0px; padding: 0px; max-width: 100%; white-space: normal; color: rgb(51, 51, 51); font-family: 宋体; font-size: 14px; line-height: 24px; orphans: 2; widows: 2; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-family: arial, helvetica, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(102, 102, 102); box-sizing: border-box !important; word-wrap: break-word !important;"><span class="bkcolor" style="margin: 0px 8px 0px 0px; padding: 4px 10px; max-width: 100%; color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important; border-top-left-radius: 5px !important; border-top-right-radius: 5px !important; border-bottom-right-radius: 5px !important; border-bottom-left-radius: 5px !important; background-color: rgb(191, 0, 0);"></span></strong><strong style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(60, 117, 45); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">ID: </span></strong></span></legend></p><p style=""><legend style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(51, 51, 51); font-family: 宋体; font-size: 14px; line-height: 24px; orphans: 2; widows: 2; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-family: arial, helvetica, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(60, 117, 45); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"></span></strong></span></legend></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; word-wrap: normal; clear: both; min-height: 1em; white-space: pre-wrap; overflow: hidden; color: rgb(51, 51, 51); font-family: 宋体; font-size: 14px; line-height: 24px; orphans: 2; widows: 2; box-sizing: border-box !important; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">平台的理念:分享维修经验,为工程师提供技术配件支持,为临床使用者提供医疗器械使用保养维护信息,关注我们传递正能量。</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; word-wrap: normal; clear: both; min-height: 1em; white-space: pre-wrap; overflow: hidden; color: rgb(51, 51, 51); font-family: 宋体; font-size: 14px; line-height: 24px; orphans: 2; widows: 2; box-sizing: border-box !important; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; max-width: 100%; font-family: 仿宋; font-size: 19px; box-sizing: border-box !important; word-wrap: break-word !important;">微信公众号:</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; word-wrap: normal; clear: both; min-height: 1em; white-space: pre-wrap; overflow: hidden; color: rgb(51, 51, 51); font-family: 宋体; font-size: 14px; line-height: 24px; orphans: 2; widows: 2; box-sizing: border-box !important; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; max-width: 100%; font-family: 仿宋; font-size: 19px; box-sizing: border-box !important; word-wrap: break-word !important;"> ? ?</span><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(255, 0, 0); font-size: 20px; box-sizing: border-box !important; word-wrap: break-word !important;"></span></strong><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; word-wrap: normal; clear: both; min-height: 1em; white-space: pre-wrap; overflow: hidden; color: rgb(51, 51, 51); font-family: 宋体; font-size: 14px; line-height: 24px; orphans: 2; widows: 2; box-sizing: border-box !important; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; max-width: 100%; font-family: 仿宋; font-size: 19px; box-sizing: border-box !important; word-wrap: break-word !important;">群主微信号:</span><span style="margin: 0px; padding: 0px; max-width: 100%; font-family: sans-serif; font-size: 16px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; word-wrap: normal; clear: both; min-height: 1em; white-space: pre-wrap; overflow: hidden; color: rgb(51, 51, 51); font-family: 宋体; font-size: 14px; line-height: 24px; orphans: 2; widows: 2; box-sizing: border-box !important; background-color: rgb(255, 255, 255);"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 20px; color: rgb(255, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"> ? ?shanying916</span></strong></p><fieldset class="brcolor" style="margin: 0px; padding: 5px; max-width: 100%; color: rgb(62, 62, 62); white-space: normal; border: 1px solid rgb(0, 187, 236); font-family: 微软雅黑; line-height: 24px; font-size: 12px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(248, 247, 245);"><legend style="margin: 0px 10px; padding: 0px; max-width: 100%; color: rgb(51, 51, 51); border-width: 0px; box-sizing: border-box !important; word-wrap: break-word !important;"><span class="bkcolor" style="margin: 0px; padding: 5px 10px; max-width: 100%; border: 0px; color: rgb(255, 255, 255); font-weight: bold; font-size: 14px; border-top-left-radius: 5px; border-top-right-radius: 5px; border-bottom-right-radius: 5px; border-bottom-left-radius: 5px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(0, 187, 236);"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">复制上面微信号</span><img data-s="300,640" data-ratio="1.35" data-w="20" src="http://mmbiz.qpic.cn/mmbiz/A1DicCH9Vl6NE8iaIXiblrE1WKyXQz6qbATAS0VZxTKlGupjMMNvicoNs9vhvYGBr83wmsdO1ouTw7kVDibk9w6VoMg/0" class="" id="c6" width="auto" width="auto" src="http://mmbiz.qpic.cn/mmbiz/A1DicCH9Vl6NE8iaIXiblrE1WKyXQz6qbATAS0VZxTKlGupjMMNvicoNs9vhvYGBr83wmsdO1ouTw7kVDibk9w6VoMg/640?tp=webp" style="margin: 0px; padding: 0px; border: 0px; box-sizing: border-box !important; word-wrap: break-word !important; visibility: visible !important;" /><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">联系我哟</span></span></legend><blockquote style="margin-bottom: 0px; padding-left: 0px; border: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; word-wrap: normal; clear: both; min-height: 1em; white-space: pre-wrap; overflow: hidden; border: 0px; box-sizing: border-box !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; border: 0px; color: rgb(255, 192, 0); font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"></span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(255, 192, 0); border: 0px; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">? </span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(127, 127, 127); border: 0px; line-height: 28px; box-sizing: border-box !important; word-wrap: break-word !important;">定期推送</span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(255, 192, 0); border: 0px; line-height: 28px; box-sizing: border-box !important; word-wrap: break-word !important;">医械资讯</span><span style="margin: 0px; padding: 0px; max-width: 100%; border: 0px; line-height: 28px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(127, 127, 127); box-sizing: border-box !important; word-wrap: break-word !important;">,</span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(0, 176, 80); box-sizing: border-box !important; word-wrap: break-word !important;">厂家推介</span><span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(127, 127, 127); box-sizing: border-box !important; word-wrap: break-word !important;">,</span><span style="margin: 0px; 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