骨质疏松分级诊疗政策解读及方案专家共识  

Interpretation of the hierarchical diagnosis and treatment policy for osteoporosis and expert consensus on the plan

作　　者：张萌萌 林华 徐又佳[3] 程海涛 马倩倩 毛未贤 高远 张岩[5] 张东伟 杨书满 吴岩[8] 李英华 张智海 葛继荣 史晓林 吴涤 李毅中[14] 王永福[15] 赵国阳[16] 张秀珍[17] 黄宏兴 徐辉[7] 郑洪新[19] 胡玲[20] ZHANG Mengmeng;LIN Hua;XU Youjia;CHENG Haitao;MA Qianqian;MAO Weixian;GAO Yuan;ZHANG Yan;ZHANG Dongwei;YANG Shuman;WU Yan;LI Yinghua;ZHANG Zhihai;GE Jirong;SHI Xiaolin;WU Di;LI Yizhong;WANG Yongfu;ZHAO Guoyang;ZHANG Xiuzhen;HUANG Hongxing;XU Hui;ZHENG Hongxin;HU Ling(Chinese Journal of Osteoporosis;Nanjing Drum Tower Hospital The Affiliated Hospital to Nanjing University Medical School;The Second Affiliated Hospital of Suzhou University;FAW General Hospital of Jilin Province;Longhua Hospitalaffiliated to Shanghai University of Traditional Chinese Medicine;Diabetes Research CenterꎬBeijing University of Chinese Medicine;Jilin University;Inner Mongolia Medical University;The fifth People’s Hospital of Shanghai;Guang'anmen HospitalꎬChina Academy of Chinese Medical Sciences;Fujian Academy of Chinese Medical Sciences;The Second Affiliated Hospital of Zhejiang University of Chinese Medicine;Baotou Medical CollegeꎬInner Mongolia University of Science and Technology;The Second Affiliated Hospital of Fujian MedicalUniversity;The First Affiliated Hospital of Baotou Medical College,Inner Mongolia University of Science and Technology;Affiliated Hospital of Jiangsu University;Tongji Hospital Affiliated Tongji University;The Third Affiliated Hospital of Guangzhou University of Chinese Medicine;Liaoning University of Traditional Chinese Medicine;The Third Affiliated Hospital of Nanchang University)

机构地区：[1]《中国骨质疏松杂志》社 [2]南京大学医学院附属鼓楼医院 [3]苏州大学附属第二医院 [4]吉林省一汽总医院 [5]上海中医药大学附属龙华医院 [6]北京中医药大学糖尿病研究中心 [7]吉林大学 [8]内蒙古医科大学 [9]上海市第五人民医院 [10]中国中医科学院广安门医院 [11]福建省中医药科学院 [12]浙江中医药大学附属第二医院 [13]内蒙古科技大学包头医学院 [14]福建医科大学附属第二医院 [15]内蒙古科技大学包头医学院第一附属医院 [16]江苏大学附属医院 [17]同济大学附属同济医院 [18]广州中医药大学第三附属医院 [19]辽宁中医药大学 [20]南昌大学第三附属医院

出　　处：《中国骨质疏松杂志》2022年第7期937-941,共5页Chinese Journal of Osteoporosis

摘　　要：2015年9月8日,国务院办公厅发布了《关于推进分级诊疗制度建设的指导意见》,为指导各地推进分级诊疗制度建设,围绕总体要求、以强基层为重点完善分级诊疗服务体系、建立健全分级诊疗保障机制、组织实施等四方面提出了意见。分级诊疗是按照疾病的轻、重、缓、急,以及治疗难易程度进行分级,不同级别的医疗机构分别承担规范治疗,实现基层首诊和双向转诊。骨质疏松分级诊疗需要构建一个全新的概念单元、命题和理论体系。其结构实体包括:个体、科室、基层医院、二级医院、三级医院、整合型医疗服务体系等多层组织框架。骨质疏松分级诊疗是对骨质疏松患者全程管理,早发现、早诊断、早治疗,全程管理的人群可分为4组:骨密度正常、骨量减少、骨质疏松、严重骨质疏松。对每组人群制定相应的防治方案,畅通转诊,连续治疗,上下联动,闭环管理。该共识旨在推动骨质疏松分级诊疗工作。On September 8,2015,the General Office of the State Council issued the"Guiding Opinions on Promoting the Construction of a Hierarchical Diagnosis and Treatment System".Opinions were put forward in four aspects,including improving the guarantee mechanism for hierarchical diagnosis and treatment,and organizing and implementing them.Hierarchical diagnosis and treatment refers to grading according to the severity,severity,slowness and urgency of the disease,as well as the difficulty of treatment.Medical institutions at different levels undertake standardized treatment respectively.Realize the first diagnosis and two-way referral at the grassroots level.The hierarchical diagnosis and treatment of osteoporosis needs to construct a new conceptual unit,proposition and theoretical system.Its structural entities include:individuals,departments,primary hospitals,the secondary hospitals,tertiary hospitals,integrated service systems and other multi-layer organizational frameworks.The hierarchical diagnosis and treatment of osteoporosis is the whole process of management of osteoporosis patients,early detection,early diagnosis,and early treatment.The people who are managed throughout the whole process can be divided into four groups:normal bone density,osteopenia,osteoporosis,and severe osteoporosis.For each group of people,a corresponding prevention and treatment plan is formulated,smooth referral,continuous treatment,upper and lower linkage,and closed-loop management.The purpose of this consensus is to promote the hierarchical diagnosis and treatment of osteoporosis.

关 键 词：分级诊疗 指导意见 骨质疏松分级诊疗 双向转诊 诊断与鉴别诊断 专家共识 

分 类 号：R589.5[医药卫生—内分泌] R197.1[医药卫生—内科学]