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走好区域医共体可持续之路

2018-07-30 姚常房 健康报

如何建设有质量、可持续的区域医共体,将区域服务力量拧成一股绳?

如何建设有质量、可持续的区域医共体,将区域服务力量拧成一股绳?7月28日,在《健康报》社主办、浙江省东阳市医共体承办的区域医共体发展推进会上,这一议题引发来自各地的各级卫生行政官员、医疗机构管理者等近400与会代表关注,并进行了热烈、富有建设性的探讨。

国家卫生健康委员会体改司监察专员姚建红认为,发展医共体的历史使命之一,是构建稀缺优质资源上下贯通和左右联通的新机制。医共体要通过利益机制、互联网方式、管理等实现“五联”,即联体、联心、联益、联网、联管,释放医务人员、卫生健康消费、市场、互联网和全社会的活力。同时,通过“五联”优化和调整患者、机构功能、机构收入、卫生健康服务以及医务人员动力的结构。

国家卫生健康委员会基层司监察专员聂春雷提出,医联体建设一定要因地制宜、分类指导,不能一刀切。大方向要坚定不移,同时也应允许基层在具体操作中有所创新与探索,扎扎实实稳步推进。

国家卫生健康委员会医政医管局医疗资源处副处长胡瑞荣指出,下一步,将加强统筹规划,组建城市医疗集团和县域医共体以规划为主,主要发挥地市级医院和县医院的牵头作用。按照“规划发展、分区包段、防治结合、行业监管”的原则,以设区的市和县域为单位,将服务区域按照医疗资源分布情况划分为若干个网格,每个网格由一个医疗集团或者医共体负责,要将对单一医疗机构医疗质量监管转变为对医联体的医疗质量监管。

国家卫生健康委员会卫生发展研究中心主任傅卫提示,目前医联体推进过程中出现了一些问题,我们应该回过头来看看建设医联体的初心,那就是形成有利于分工协作、资源下沉、服务同质、连续服务的体系。国家卫生健康委员会医药卫生科技发展研究中心副主任代涛呼吁,应在适当的地点提供适当的服务,适宜的就是最好的。上海市卫生和健康发展研究中心主任金春林表示,要从提升单个医疗机构的效率转向整个医疗服务系统的整体效率,今后,进行考核评价最小的单元是医联体,建立对整个医联体服务质量的考核体系和信息收集系统。

浙江省卫生计生委副主任马伟杭表示,浙江省医共体建设试点工作运行时间并不是很长,但是总的效果不错。而在衡量试点工作是否做实上,有“八个基本标准”,如医共体内各医疗机构是否真正合而为一、医保总额预算管理和支付是否与医共体联系起来等。

会上,包括浙江省东阳市医共体、德清县医共体、常山县医共体,广东省中山市医共体,山西省高平市医共体,福建省将乐县医共体等,分享了各自在探索中的经验与思考。

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    2018-08-08 wxl882001

    了解一下

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=337373, encodeId=293433e373e7, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Wed Aug 08 22:00:43 CST 2018, time=2018-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=336553, encodeId=d73133655366, content=希望可以一直走下去, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7ceOChkqicg6SzjqymjoEtLx55A9HNpmV1quNDdicpmTPZp1WXCq35u64iaCjRhibmrEPN5JHdvOZt9Ajj4MxzLbJ9/0, createdBy=ddf3111026, createdName=jawel, createdTime=Sun Aug 05 08:42:16 CST 2018, time=2018-08-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=335548, encodeId=147f3355489f, content=学习了受益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Wed Aug 01 14:15:03 CST 2018, time=2018-08-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1392770, encodeId=97ce1392e70f0, content=<a href='/topic/show?id=c9e03393569' target=_blank style='color:#2F92EE;'>#医共体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33935, encryptionId=c9e03393569, topicName=医共体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c97a2500111, createdName=thinkibmz_44722594, createdTime=Wed Aug 01 08:58:00 CST 2018, time=2018-08-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=335164, encodeId=ca6233516465, content=要落到实处,造福人民, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Mon Jul 30 20:27:57 CST 2018, time=2018-07-30, status=1, ipAttribution=)]
    2018-08-05 jawel

    希望可以一直走下去

    0

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    2018-08-01 131****1460

    学习了受益匪浅

    0

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    2018-07-30 医者仁心5538

    要落到实处,造福人民

    0

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