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大医院将不再与基层医院“抢生意”?两家三甲医院同日关停普通门诊!

2018-04-08 张广有 医师报

为了更好落实分级诊疗模式,4月1日起,上海仁济医院和惠州市中心人民医院分别关停普内科门诊和取消普通门诊,这一消息引发社会各界的热议。


为了更好落实分级诊疗模式,4月1日起,上海仁济医院和惠州市中心人民医院分别关停普内科门诊和取消普通门诊,这一消息引发社会各界的热议。

取消普通门诊,是否会给患者带来新的看病难问题?对此,上海仁济医院副院长王育透露,该院普内科一年门诊量在10万人次。关闭普内科门诊后,预计10%的普内科患者可以下沉至基层医院,其余90%的患者可分流到专科门诊。

惠州市中心人民医院院长陈子林表示:“主动取消普通门诊后,大医院将不再与基层医院‘抢生意’,基层医院成了普通门诊的唯一选项,分级诊疗自然是水到渠成。以后,初诊下放到基层医院,大医院将更多的精力放在危急重症、疑难杂症诊疗临床研究上,使医院重新回归三级医院原有的功能定位。”

上海市卫生和健康发展研究中心主任金春林认为:“分级诊疗的前提是大医院‘有动力放’,基层还要‘接得住’,未来还有很长的路要走。”上海医师协会副会长孙晓明强调:“上海等地的三甲医院取消普通门诊的尝试是件好事,但效果怎样有待进一步观察。随着患者回流到基层门诊,优质人才、资金、医保额度、药品等资源也要随之下沉,否则难以持久。”

因此,各家医院不应跟风关闭普通门诊,应结合医院实际和当地患者情况,慎重抉择。

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    2019-02-28 zhangph
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  5. [GetPortalCommentsPageByObjectIdResponse(id=1934606, encodeId=f46c1934606eb, content=<a href='/topic/show?id=dda75998397' target=_blank style='color:#2F92EE;'>#普通门诊#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59983, encryptionId=dda75998397, topicName=普通门诊)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e656479, createdName=achengzhao, createdTime=Sun Jan 27 16:27:00 CST 2019, time=2019-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1910232, encodeId=d6c91910232df, content=<a href='/topic/show?id=0e4e43635a6' target=_blank style='color:#2F92EE;'>#大医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=43635, encryptionId=0e4e43635a6, topicName=大医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6976269, createdName=zhangph, createdTime=Thu Feb 28 19:27:00 CST 2019, time=2019-02-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1365968, encodeId=76491365968b4, content=<a href='/topic/show?id=468119e04db' target=_blank style='color:#2F92EE;'>#三甲医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19704, encryptionId=468119e04db, topicName=三甲医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5662228, createdName=mjldent, createdTime=Tue Apr 10 14:27:00 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1443442, encodeId=9d44144344225, content=<a href='/topic/show?id=1e2b41991fc' target=_blank style='color:#2F92EE;'>#基层医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41991, encryptionId=1e2b41991fc, topicName=基层医院)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=84f65069039, createdName=12498e8em73暂无昵称, createdTime=Tue Apr 10 14:27:00 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1552448, encodeId=22001552448ff, content=<a href='/topic/show?id=a8d5196997c' target=_blank style='color:#2F92EE;'>#三甲#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19699, encryptionId=a8d5196997c, topicName=三甲)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=88e914287502, createdName=陈吴1239, createdTime=Tue Apr 10 14:27:00 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=304178, encodeId=0f513041e894, content=最终还要看效果, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/24/1c2dbd6706e64df33befd6663f1d6b37.jpg, createdBy=94f61661779, createdName=lyh994, createdTime=Mon Apr 09 09:21:32 CST 2018, time=2018-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=303996, encodeId=58fd30399648, content=了解一下.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Sun Apr 08 23:38:28 CST 2018, time=2018-04-08, status=1, ipAttribution=)]
    2018-04-10 陈吴1239
  6. [GetPortalCommentsPageByObjectIdResponse(id=1934606, encodeId=f46c1934606eb, content=<a href='/topic/show?id=dda75998397' target=_blank style='color:#2F92EE;'>#普通门诊#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59983, encryptionId=dda75998397, topicName=普通门诊)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e656479, createdName=achengzhao, createdTime=Sun Jan 27 16:27:00 CST 2019, time=2019-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1910232, encodeId=d6c91910232df, content=<a href='/topic/show?id=0e4e43635a6' target=_blank style='color:#2F92EE;'>#大医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=43635, encryptionId=0e4e43635a6, topicName=大医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6976269, createdName=zhangph, createdTime=Thu Feb 28 19:27:00 CST 2019, time=2019-02-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1365968, encodeId=76491365968b4, content=<a href='/topic/show?id=468119e04db' target=_blank style='color:#2F92EE;'>#三甲医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19704, encryptionId=468119e04db, topicName=三甲医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5662228, createdName=mjldent, createdTime=Tue Apr 10 14:27:00 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1443442, encodeId=9d44144344225, content=<a href='/topic/show?id=1e2b41991fc' target=_blank style='color:#2F92EE;'>#基层医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41991, encryptionId=1e2b41991fc, topicName=基层医院)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=84f65069039, createdName=12498e8em73暂无昵称, createdTime=Tue Apr 10 14:27:00 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1552448, encodeId=22001552448ff, content=<a href='/topic/show?id=a8d5196997c' target=_blank style='color:#2F92EE;'>#三甲#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19699, encryptionId=a8d5196997c, topicName=三甲)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=88e914287502, createdName=陈吴1239, createdTime=Tue Apr 10 14:27:00 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=304178, encodeId=0f513041e894, content=最终还要看效果, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/24/1c2dbd6706e64df33befd6663f1d6b37.jpg, createdBy=94f61661779, createdName=lyh994, createdTime=Mon Apr 09 09:21:32 CST 2018, time=2018-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=303996, encodeId=58fd30399648, content=了解一下.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Sun Apr 08 23:38:28 CST 2018, time=2018-04-08, status=1, ipAttribution=)]
    2018-04-09 lyh994

    最终还要看效果

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1934606, encodeId=f46c1934606eb, content=<a href='/topic/show?id=dda75998397' target=_blank style='color:#2F92EE;'>#普通门诊#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59983, encryptionId=dda75998397, topicName=普通门诊)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e656479, createdName=achengzhao, createdTime=Sun Jan 27 16:27:00 CST 2019, time=2019-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1910232, encodeId=d6c91910232df, content=<a href='/topic/show?id=0e4e43635a6' target=_blank style='color:#2F92EE;'>#大医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=43635, encryptionId=0e4e43635a6, topicName=大医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6976269, createdName=zhangph, createdTime=Thu Feb 28 19:27:00 CST 2019, time=2019-02-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1365968, encodeId=76491365968b4, content=<a href='/topic/show?id=468119e04db' target=_blank style='color:#2F92EE;'>#三甲医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19704, encryptionId=468119e04db, topicName=三甲医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5662228, createdName=mjldent, createdTime=Tue Apr 10 14:27:00 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1443442, encodeId=9d44144344225, content=<a href='/topic/show?id=1e2b41991fc' target=_blank style='color:#2F92EE;'>#基层医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41991, encryptionId=1e2b41991fc, topicName=基层医院)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=84f65069039, createdName=12498e8em73暂无昵称, createdTime=Tue Apr 10 14:27:00 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1552448, encodeId=22001552448ff, content=<a href='/topic/show?id=a8d5196997c' target=_blank style='color:#2F92EE;'>#三甲#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19699, encryptionId=a8d5196997c, topicName=三甲)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=88e914287502, createdName=陈吴1239, createdTime=Tue Apr 10 14:27:00 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=304178, encodeId=0f513041e894, content=最终还要看效果, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/24/1c2dbd6706e64df33befd6663f1d6b37.jpg, createdBy=94f61661779, createdName=lyh994, createdTime=Mon Apr 09 09:21:32 CST 2018, time=2018-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=303996, encodeId=58fd30399648, content=了解一下.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Sun Apr 08 23:38:28 CST 2018, time=2018-04-08, status=1, ipAttribution=)]
    2018-04-08 天地飞扬

    了解一下.谢谢分享!

    0

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