分级诊疗视角下结构性“看病难”问题探讨  

Discussion on the Problem of Structural "Difficulty of Getting Medical Service" From the Perspective of Classification and Treatment

作　　者：郑明端[1] 

机构地区：[1]厦门大学附属第一医院财务部,福建厦门361003

出　　处：《中国卫生标准管理》2016年第23期23-26,共4页China Health Standard Management

摘　　要：目的为进一步完善分级诊疗制度,优化医疗资源配置,打造厦门市分级诊疗升级版。方法通过对2005年以来厦门市属三级公立医院、二级公立医院和社区卫生服务中心门急诊量调查统计分析,总结历年工作的经验与教训,提出解决措施。结果社区卫生服务中心门急诊量从2005年的83.23万人次,提高到2015年的221.42万人次,增长166%,同期二级医院增长98.81%。结论实施分级诊疗还应提高分级诊疗宣传力度,协调各方面的工作,实现小病在社区,大病去医院的分级诊疗模式。Objective In order to further improve the hierarchical medical system, optimizie the allocation of medical resources.ultimately, create a upgraded version of hierarchical diagnosis and treatment in xiamen. Methods Through the survey and statistical analysis of outpatient amount since 2005 in tertiary hospitals, second-class hospitals and community health service centers of Xiamen to summarize the experience and lessons of the past years, then put tbrward the solutions. Results Comnmnity health service center emergency volume from 832 thousand and 300 passengers in 2005, increased to 2 million 214 thousand and 200 passengers in 2（315, an increase of 166%, the same period two hospitals increased by 98.81%. Conclusion Implementation of grading treatment should also improve treatment propaganda, coordinating all aspects of the work, the minor illness in the comnmnity, serious illness to the hospital diagnosis classification model.

关 键 词：分级诊疗 合理配置 医疗资源 

分 类 号：R197.1[医药卫生—卫生事业管理]