门诊“全景式”疑难重症诊疗服务体系的构建  

Construction of a panoramic diagnosis and treatment service system for difficult and severe diseases in outpatient services

作　　者：刘玲宏 王睆琳 代佳灵 李琴[1,2] 黄雪茹 李英华 张淑彬[1,2] 何谦[1,2] LIU Linghong;WANG Huanlin;DAI Jialing;LI Qin;HUANG Xueru;LI Yinghua;ZHANG Shubin;HE Qian(Rare Disease Center,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Outpatient Department,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院罕见病中心,成都610041 [2]四川大学华西医院门诊部,成都610041

出　　处：《华西医学》2025年第3期465-469,共5页West China Medical Journal

基　　金：四川省科技计划项目(2022JDKP0071)。

摘　　要：在国家深化分级诊疗制度改革的政策背景下,大型公立医院作为疑难重症诊疗中心,面临患者预约就诊难、精准诊疗难、连续医疗难等诸多困境。为系统攻克这一系列严峻挑战,四川大学华西医院立足患者就医的难点痛点,构建了门诊“全景式”疑难重症诊疗服务体系。该体系通过诊前“三汇聚”、诊中“三保障”、诊后“三联通”等创新举措进行诊疗全流程优化,不仅显著提升了诊疗效率与医疗质量,更为患者提供了优质、便捷的医疗服务体验,为大型公立医院破解疑难重症诊疗难题提供了可资借鉴的实践范例。Under the policy background of deepening the reform of the hierarchical diagnosis and treatment system in the country,large public hospitals,as centers for the diagnosis and treatment of difficult and severe diseases,face multiple challenges such as difficulty in patient appointment,difficulty in precise diagnosis and treatment,and difficulty in continuous medical care.To overcome this series of severe challenges,West China Hospital of Sichuan University has established a“panoramic”outpatient diagnosis and treatment service system for difficult and severe diseases based on the pain points of patients seeking medical treatment.This system optimizes the entire diagnosis and treatment process through innovative measures such as pre-diagnosis“three convergences”,during-diagnosis“three guarantees”,and postdiagnosis“three connections”.It not only significantly improves the efficiency and quality of diagnosis and treatment,but also provides patients with a high-quality and convenient medical service experience,offering a practical example for large public hospitals to address the diagnosis and treatment challenges of difficult and severe diseases.

关 键 词：分级诊疗 门诊 疑难重症 诊疗服务体系 

分 类 号：R47[医药卫生—护理学]