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这家医院彻底取消普通门诊 实现门诊专科化

2018-03-27 廖钰娴 南方网

惠州市中心人民医院将彻底取消普通门诊。

日前,记者从惠州市中心人民医院(以下简称“中心医院”)了解到,从4月1日起,该院将彻底取消普通门诊,全面实现门诊专科化。

据了解,普通门诊是相对专科门诊或专家门诊而言,患者自觉或他觉躯体或精神上有异常表现而来就诊的人群,其病情允许在门诊时间里根据医生的安排进行检查和处理。对于初诊者,病情尚未明确,或在其他医院就诊但仍未确诊,就需在普通门诊经初步判断后,确定是否该看专科门诊。与之相对,专科门诊是在普通门诊诊断为某类疾病后,再去找该类疾病的专家教授就诊,以便对症下药。

中心医院相关负责人介绍,2016年初该院就制定了《逐步取消普通门诊实施方案》,开始关闭下埔分院普通门诊,取消了分院社区医疗服务项目,同时采取措施逐步减少院部普通门诊量,提高专科门诊量。2017年,该院取消了实行多年的便民门诊。

近年来,通过一系列措施,该院优化了专科门诊和普通门诊的占比。据统计,2017年该院门诊诊疗达217万人次,其中专科门诊诊疗120万人次,与2016年同比上升18.44%;普通门诊诊疗96万人次,同比下降71.8%。此外,专科专家门诊占比大幅度提高,由2017年上半年的38.5%提高到2017年下半年的72.6%,2018年1月达到96%。

“市中心人民医院取消普通门诊,目的是为了促进医疗资源合理分配,使医院重新回归三级医院原有的功能定位,让初诊下放到基层医院,从而将更多的精力放在危急重症、疑难杂症诊疗和临床医学科学研究上,为人民群众提供更加精准、优质的医疗服务。”中心医院院长陈子林表示。

取消普通门诊,是否会带来新的看病难问题?陈子林认为,按照分级诊疗的原则,大医院取消普通门诊后,普通病人可就近选择在二级及以下医疗机构诊治。大病患者可经过二级及以下医院预约床位,再转诊到三级医院。通过分级诊疗,普通病人就不能再去三甲医院跟危重病人抢床位,而且理论上小医院费用也比较低。而大病患者可以经过绿色通道在最短时间内向上转诊到三级医院治疗,从而缩短在大医院候床的时间。

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    2018-03-30 329523732

    但是不是要搞个全科

    0

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    2018-03-30 329523732

    专科好

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1934604, encodeId=50781934604a9, 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=73, 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=Mon Mar 11 16:50:00 CST 2019, time=2019-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1715348, encodeId=01c11e1534873, content=<a href='/topic/show?id=235220e0106' target=_blank style='color:#2F92EE;'>#专科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20701, encryptionId=235220e0106, topicName=专科)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=894231925290, createdName=12498ebem29暂无昵称, createdTime=Thu Mar 07 19:50:00 CST 2019, time=2019-03-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=301248, encodeId=1b5f301248b7, content=但是不是要搞个全科, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/2EVCwc9WmQS6ec99H2TX8ejmR40xYjwrIcrqjAnibV36aicL1sLxc21rhpZnqTOxk33HP44iayEwo6qYXqgZvdRtA/132, createdBy=d0d01573846, createdName=329523732, createdTime=Fri Mar 30 20:18:27 CST 2018, time=2018-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=301247, encodeId=ec8f30124e1c, content=专科好, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/2EVCwc9WmQS6ec99H2TX8ejmR40xYjwrIcrqjAnibV36aicL1sLxc21rhpZnqTOxk33HP44iayEwo6qYXqgZvdRtA/132, createdBy=d0d01573846, createdName=329523732, createdTime=Fri Mar 30 20:18:07 CST 2018, time=2018-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=300285, encodeId=93d2300285b7, content=据了解.普通门诊是相对专科门诊或专家门诊而言.患者自觉或他觉躯体或精神上有异常表现而来就诊的人群.其病情允许在门诊时间里根据医生的安排进行检查和处理.对于初诊者.病情尚未明确.或在其他医院就诊但仍未确诊.就需在普通门诊经初步判断后.确定是否该看专科门诊.与之相对.专科门诊是在普通门诊诊断为某类疾病后.再去找该类疾病的专家教授就诊.以便对症下药., beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Tue Mar 27 22:04:16 CST 2018, time=2018-03-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=300223, encodeId=b43f300223a6, content=学习一下谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=140, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzaiabIFicf63hKvVMjL6aJlx4yX4UcXmzX9DyibCRcicq0QtCRWMaQKh8MYjE1D3EKUBopgiaGWYuqbeR/0, createdBy=0c2b1999806, createdName=三生有幸9135, createdTime=Tue Mar 27 17:16:04 CST 2018, time=2018-03-27, status=1, ipAttribution=)]
    2018-03-27 有备才能无患

    据了解.普通门诊是相对专科门诊或专家门诊而言.患者自觉或他觉躯体或精神上有异常表现而来就诊的人群.其病情允许在门诊时间里根据医生的安排进行检查和处理.对于初诊者.病情尚未明确.或在其他医院就诊但仍未确诊.就需在普通门诊经初步判断后.确定是否该看专科门诊.与之相对.专科门诊是在普通门诊诊断为某类疾病后.再去找该类疾病的专家教授就诊.以便对症下药.

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1934604, encodeId=50781934604a9, 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=73, 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=Mon Mar 11 16:50:00 CST 2019, time=2019-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1715348, encodeId=01c11e1534873, content=<a href='/topic/show?id=235220e0106' target=_blank style='color:#2F92EE;'>#专科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20701, encryptionId=235220e0106, topicName=专科)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=894231925290, createdName=12498ebem29暂无昵称, createdTime=Thu Mar 07 19:50:00 CST 2019, time=2019-03-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=301248, encodeId=1b5f301248b7, content=但是不是要搞个全科, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/2EVCwc9WmQS6ec99H2TX8ejmR40xYjwrIcrqjAnibV36aicL1sLxc21rhpZnqTOxk33HP44iayEwo6qYXqgZvdRtA/132, createdBy=d0d01573846, createdName=329523732, createdTime=Fri Mar 30 20:18:27 CST 2018, time=2018-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=301247, encodeId=ec8f30124e1c, content=专科好, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/2EVCwc9WmQS6ec99H2TX8ejmR40xYjwrIcrqjAnibV36aicL1sLxc21rhpZnqTOxk33HP44iayEwo6qYXqgZvdRtA/132, createdBy=d0d01573846, createdName=329523732, createdTime=Fri Mar 30 20:18:07 CST 2018, time=2018-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=300285, encodeId=93d2300285b7, content=据了解.普通门诊是相对专科门诊或专家门诊而言.患者自觉或他觉躯体或精神上有异常表现而来就诊的人群.其病情允许在门诊时间里根据医生的安排进行检查和处理.对于初诊者.病情尚未明确.或在其他医院就诊但仍未确诊.就需在普通门诊经初步判断后.确定是否该看专科门诊.与之相对.专科门诊是在普通门诊诊断为某类疾病后.再去找该类疾病的专家教授就诊.以便对症下药., beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Tue Mar 27 22:04:16 CST 2018, time=2018-03-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=300223, encodeId=b43f300223a6, content=学习一下谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=140, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzaiabIFicf63hKvVMjL6aJlx4yX4UcXmzX9DyibCRcicq0QtCRWMaQKh8MYjE1D3EKUBopgiaGWYuqbeR/0, createdBy=0c2b1999806, createdName=三生有幸9135, createdTime=Tue Mar 27 17:16:04 CST 2018, time=2018-03-27, status=1, ipAttribution=)]
    2018-03-27 三生有幸9135

    学习一下谢谢分享

    0

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