下一步分级诊疗如何开展？今年两会这样说...

admin · 发表于 2020-10-14 12:13:03

                  <section data-role="paragraph" data-color="rgb(182, 228, 253)" data-custom="rgb(182, 228, 253)"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section><p><p><img src="image/20201014/86b79d371e9862b01189f0252a03b2cd_1.png" /></p></p></section><section><section><span><strong></strong></span></section><p><span>医疗器械媒体报道先锋</span></p><p><span>分享专业医疗器械知识</span></p></section><section><section><section><span>关注</span><span></span></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section><section powered-by="gulangu"><p><br  /></p><p><span>今年，分级诊疗是成为两会热议的焦点。我们盘点了部分有关分级诊疗的相关议案、建议、草案供大家参考。</span></p><p><span><br  /></span></p><p><p><img src="image/20201014/28daab644dfb529aa4e51b9dcd3302c9_2.jpg" /></p></p><p><br  /><span></span></p><section><span>5月21日，全国两会正式开启。在多数医疗界人士眼里，分级诊疗可以有效引导优质医疗资源和患者的下沉，规范就医秩序，确保基本医疗卫生服务的公平可及。</span></section><section><span><br  /></span></section><section><span>今年，分级诊疗是成为两会热议的焦点。我们盘点了部分有关分级诊疗的相关议案、建议、草案供大家参考。</span></section><section><br  /></section><section><br  /></section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section><section><svg viewbox="0 0 1 1"></svg></section></section><section><section powered-by="gulangu"><p><span><strong>王江滨：传染病防控机制要关口前移</strong></span></p></section><section powered-by="gulangu"><section><br  /></section></section><section powered-by="gulangu"><section><p><em>吉林大学中日联谊医院消化内科主任、全国人大代表</em></p></section></section></section></section></section></section></section></section><section><br  /><span></span></section><section><span>王江滨一直关注大医院和基层医院各司其职的分级诊疗制度建设。去年全国两会上，王江滨提出《制定全国贫困人口免费体检项目统一目录》的建议。今年，她继续关注医疗问题，并提出“传染病防控机制要关口前移”。</span></section><section><span><br  /></span></section><section><span><br  /></span></section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section><section><svg viewbox="0 0 1 1"></svg></section></section><section><section powered-by="gulangu"><p><span><strong>顾晋:建立紧密型医联体，打通“最后一公里”</strong></span><span> </span></p></section><section powered-by="gulangu"><section><br  /></section></section><section powered-by="gulangu"><section><p><em>全国人大代表、北京大学肿瘤医院主任医师、教授、北京大学首钢医院院长</em></p></section></section></section></section></section></section></section></section><section><br  /><span></span></section><section><span>顾晋认为，大医院与社区医院之间应该建立紧密型医联体。在人才吸纳与储备上，首先要打破目前市属和区属的医疗机构财政、人员在行政隶属上的壁垒。</span></section><section><span><br  /></span></section><section><span>“比如，县乡两级的医疗机构，采用‘县招乡用’的模式，由县里统一招聘医务人员外派到乡一级的医疗机构工作，这样在人员调配上就能形成一体化。”顾晋说，随着全科医生培养的加强，市区医院关系的进一步理顺，相信形成紧密型医联体并不困难。</span></section><section><span><br  /></span></section><section><span>在信息架构上，应搭建三级医院和社区的信息平台，形成紧密的信息联系后，人员编制也都隶属三级医院。这次疫情的发生，也极大推进了互联网医疗的应用。顾晋认为，互联网医疗可以继续完善体系，术后的健康指导、远程回访等都可以用互联网医疗代替。</span></section><section><span><br  /></span></section><section><span><br  /></span></section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section><section><svg viewbox="0 0 1 1"></svg></section></section><section><section powered-by="gulangu"><p><span><strong>陈鑫：在全国医疗机构普遍建设发热门诊</strong></span><span> </span></p></section><section powered-by="gulangu"><section><br  /></section></section><section powered-by="gulangu"><section><p><em>全国人大代表、南京市第一医院副院长</em></p></section></section></section></section></section></section></section></section><section><br  /><span></span></section><section><span>在全国两会上，他提出要在全国范围内的医疗机构普遍地建设发热门诊。医疗机构有了发热门诊，就能将发热病人和其他病人隔离开来，避免其在人群集中的地方停留，传染给其他病人。</span></section><section><span><br  /></span></section><section><span>陈鑫指出，其实发热门诊从2003年抗击SARS期间就有了。但随着SARS的销声匿迹，在很多医院里，发热门诊或者闲置，或者不能很正规地开展工作。对此，陈鑫提出：“新冠病毒和SARS不同，根据专家的预测，新冠病毒短期内不会消失，因此其防控可能会进入一个常态化的过程。”</span></section><section><span><br  /></span></section><section><span>陈鑫提议，在全国层面，对各个级别的医疗机构，从社区卫生服务中心到三甲医院，都建设发热门诊。在此之后，还应出台相关的规范，让发热门诊投入日常的运行。</span></section><section><span><br  /></span></section><section><span><br  /></span></section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section><section><svg viewbox="0 0 1 1"></svg></section></section><section><section powered-by="gulangu"><p><span><strong>刘艳: 强基层，双提升，推进分级诊疗制度建设</strong></span><span> </span></p></section><section powered-by="gulangu"><section><br  /></section></section><section powered-by="gulangu"><section><p><em>全国人大代表、上海交通大学医学院附属第九人民医院副院长</em></p></section></section></section></section></section></section></section></section><section><br  /><span></span></section><section><span>刘艳认为，分级诊疗制度建设是一项艰巨的任务，还应在区域联动、全科医生培养以及医疗信息化建设方面继续推进。</span></section><section><span><br  /></span></section><section><span>刘艳建议，根据区域的功能定位和发展特点，因地制宜，统筹规划，以服务的“便捷化、均等化、同质化”为核心，强化不同层级医院功能定位，明晰职责，优化医疗资源布局。如以专科联盟、区域医疗中心建设为抓手，融通区域内就医资源和医疗信息。</span></section><section><span><br  /></span></section><section><span>与此同时，要加强全科医学院校教育，提高生源质量和招生规模，加速全科医学学科建设，完善全科医生规培制度。在加强培训基地建设的同时，还要完善培训效果评估机制，健全全科医学人才培养体系，尤其是全科领军人才和骨干力量的培养。</span></section><section><span><br  /></span></section><section><span><br  /></span></section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section><section><svg viewbox="0 0 1 1"></svg></section></section><section><section powered-by="gulangu"><p><span><strong>毛宗福：建立分级诊疗制度，让老百姓在家门口放心看病</strong></span><span> </span></p></section><section powered-by="gulangu"><section><br  /></section></section><section powered-by="gulangu"><section><p><em>全国人大代表、武汉大学全球健康研究中心主任</em></p></section></section></section></section></section></section></section></section><section><br  /><span></span></section><section><span>在毛宗福看来，实现分级诊疗，不仅仅是简单的“分级”，而是需要有一系列措施来支撑。</span></section><section><span><br  /></span></section><section><span>全国人大代表武汉大学全球健康研究中心主任毛宗福说道，首先基层的功能定位、服务模式、服务方式、服务团队确实按照“守门人”这个要求来配置，以此开展服务，规范服务内容；第二个医保资金要支持引导基层医务工作者开展常见多发病诊疗，引导病人到基层首诊。</span></section><section><span><br  /></span></section><section><span>毛宗福认为，建设分级诊疗制度还需要借助互联网技术的“东风”，由政府把这个基础工程做实，让老百姓能够实现小病到社区，大病到医院，康复回社区。</span></section><section><span><br  /></span></section><section><span>“这个网我们政府要把它给做实，有了这个网以后，医疗部门已经在推的城市医共体、医联体把它更好地做实。将来我们提倡以城市区域为单元，实现互联互享，让我们老百姓在家门口能够放心安心，他才能够到家门口社区卫生服务中心来看病。”</span></section><section><br  /></section><section><span>来源：基层卫生健康，据中国新闻网、人民网、扬子晚报、湖北广电、中国科学、HC3i中数新医</span></section><p><br  /></p></section><section 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