新疆基层医院分级诊疗实施现状及完善措施探讨  

Discussion on the Implementation Status and Improvement Measures of Hierarchical Diagnosis and Treatment in Xinjiang Grassroots Hospitals

作　　者：杨旭[1] 李雪[1] 谢慧玲[1] YANG Xu;LI Xue;XIE Hui-ling(School of Public Health,Xinjiang Medical University,Urumqi 830017,China)

机构地区：[1]新疆医科大学公共卫生学院,乌鲁木齐市830017

出　　处：《现代医院管理》2022年第4期5-8,共4页Modern Hospital Management

基　　金：新疆维吾尔自治区自然科学基金(2017D01C184)。

摘　　要：目的了解目前新疆基层医院分级诊疗制度推行过程中面临的主要问题,寻找制约分级诊疗制度推行的关键因素并探讨针对性的解决措施。方法对新疆各级医院分级诊疗工作负责人进行开放性访谈,采用定性比较分析的方法分析制约新疆基层医院分级诊疗制度运行的关键因素。结果基层诊疗技能不足、基层药品种类不全且信息化建设不完善是影响基层医院分级诊疗制度推行的关键因素。这条路径的原始覆盖率达到66.9%,唯一覆盖度达到26.9%。医保报销制度的影响不明显。结论基层药物不足是目前急需解决的问题。建议医保部门合理调整增补基层医院药品目录,完善基层药品采购机制,保证药品目录种类满足居民需求的同时保障药物的供应配送,促进药品的合理使用。Objective:To understand the main problems in the implementation of the hierarchical diagnosis and treatment system in Xinjiang grassroots hospitals, find the key factors restricting the implementation of the system and explore the targeted solutions.Method:open interviews were conducted with persons in charge of hierarchical diagnosis and treatment in all-level hospitals at grassroots in Xinjiang, and the qualitative comparative analysis was used to analyze the key factors restricting the operation of hierarchical diagnosis and treatment system in grassroots hospitals in Xinjiang.Result:The key factors affecting the implementation of the hierarchical diagnosis and treatment system in grassroots hospitals are the lack of diagnosis and treatment skills, the incomplete types of medicines and the imperfect information construction.The original coverage of the path reached 66.9% and the unique coverage reached 26.9%;The effect of medical insurance reimbursement system is not obvious.Conclusion:The shortage of medicine at grassroots level is an urgent problem to be solved.It is suggested that the medical insurance department should adjust and supplement the drug catalog of grassroots hospitals reasonably, improve the drug procurement mechanism of grassroots hospitals, ensure the drug supply and distribution in order to meet the needs of residents, and promote the rational use of drugs.

关 键 词：分级诊疗 基层医院 定性比较分析 

分 类 号：R197[医药卫生—卫生事业管理]