三级医院视角下城市分级诊疗阻滞因素与策略探讨  

Discussion on the Blocking Factors and Strategies of Urban Hierarchical Medical System Under the Perspective of Tertiary Hospitals

作　　者：周小金[1] 肖近[1] 姜东林[1] 李成万[1] 王建中[1] ZHOU Xiao-jin;XIAO Jin;JIANG Dong-lin(The Third People’s Hospital of Wuxi,Wuxi,Jiangsu,214041,China)

机构地区：[1]无锡市第三人民医院

出　　处：《中国医院管理》2019年第10期24-26,共3页Chinese Hospital Management

基　　金：江苏省医院协会医院管理创新研究课题（JSYGY-3-2017-57）;无锡市卫生计生委科研面上项目（MS201768）

摘　　要：构建和完善分级诊疗体系、实现患者的有序就医是新医改的一项主要任务,纵观10年的分级诊疗建设,其工作推进和实施效果仍未达到要求。在结合作者自身管理实践的基础上,以三级综合医院的视角,分析了城市分级诊疗的阻滞因素,并从健全下转机制、强化下转主动性、增强医保调节、建设紧密型医联体、提升社区服务能力、缩减中心医院床位、建设转诊平台等方面提出建设意见,旨在为新医改中进一步推进分级诊疗提供部分参考。It is a major task of the new medical reform to improve the hierarchical diagnosis and treatment and achieve orderly medical treatment. Throughout the 10 years of construction,the effect of its promotion and implementa tion have not met the requirements. Based on the author’s own management practice,the paper analyzes the problems of urban hierarchical medical system under the perspective of tertiary comprehensive hospitals. The paper puts forward some suggestions on how to improve the downward transfer mechanism,strengthen the initiative of downward trans fer,strengthen the regulatory role of medical insurance,build a close medical alliance,enhance the ability of communi ty service,reduce the beds of central hospitals and build a referral platform. The aim is to provide some reference for fur ther promoting the hierarchical diagnosis and treatment in the new medical reform.

关 键 词：三级医院 分级诊疗 阻滞因素 策略 

分 类 号：R197.32[医药卫生—卫生事业管理]