Hunan has started grading diagnosis and treatment pilot, do not have to squeeze a large hospital www.hotavxxx.com

Hunan has launched a pilot grading clinics don’t have to squeeze the big hospital original title: Hunan has launched the pilot work to promote the classification of diagnosis and treatment, the first primary diagnosis and referral doctor need not be crowded in grass-roots hospitals can not go, patients have to squeeze to the hospital, and the hospital because of the limited medical resources exhausted in response to the. How to solve the problem of difficult medical treatment? The Establishment Ceremony of Hunan Province Hospital Association grading treatment management Specialized Committee reporters from yesterday’s learned, Hunan has launched the pilot work of grading clinics, multi-channel training of general practitioners, down the first primary diagnosis reimbursement, patients with chronic diseases to guide. The experts agreed that, to promote the hospital resources sinking, adopt various supporting measures, send technology to the grassroots, to help the hospital to improve the service ability, to really help the grassroots medical institutions "blood". President of the Hunan Provincial Hospital Association Liu Junwu said that the Provincial Hospital Management Association of medical grade Specialized Committee was established, hierarchical diagnosis and treatment mode will lead the hospitals to establish the first primary diagnosis, referral, acute and chronic treatment, vertical linkage, and gradually implement the classification treatment system, truly grassroots first diagnosed, variable blood transfusion into blood. It is reported that the future of our province will establish the diagnosis classification model the first primary diagnosis, referral, acute and chronic treatment, upper and lower linkage, let one or two, three hospitals carry out their duties, fulfill their duties, the director of urban and rural residents, effectively solve the "difficult and expensive" problem. The status of a large hospital, small hospital in a deserted house is hard to find, according to statistics, in 2014 the national 25860 hospitals, three hospitals only 1954 (accounting for 7.56%), but the amount of medical services provided by it has reached 1 billion 400 million people, accounting for 47.1% of all hospital visits (National Hospital in 2014 2 billion 970 million total treatment); which is located in the bottom level and not grade 17056 hospitals (accounting for 65.96%), but only provides the diagnosis and treatment of 320 million passengers (accounting for 10.78%). "A large hospital hard to find, a deserted house in grass-roots hospital, also exists in our province." Hunan People’s Hospital Dean Zhu Yimin said, due to the high quality medical resources are relatively concentrated in the big city, the diagnosis and treatment of primary medical institutions bottlenecks, grassroots critically ill patient referral difficult, especially in remote areas so grassroots medical needs of the people was not satisfied, once suffering from a serious illness, medical treatment is difficult and expensive problem is particularly prominent. A survey shows that in our country, choose to go to the community hospital, minor illness from three hospitals accounted for about 48.3%; no matter what the situation will go from three hospitals of 25.3% basic hospital in the community; 15.7%; first to three hospitals, and then went to a small hospital to dispensing for 4.5% basic in the private hospital; 0.7%; the other 5.5%. "This shows that we ordinary people in the medical choice, really can be scientific, rational, in line with the current national conditions of less than half." Zhu Yimin said that the masses choose some misunderstanding is on the one hand, on the other hand, the grass-roots medical institutions compared to large hospitals in the construction of service ability, talent gap does exist, resulting in a lot of people do not want to go to a small hospital)

湖南已启动分级诊疗试点 看病不必都挤大医院原标题:湖南已启动分级诊疗工作试点,推进基层首诊和双向转诊看病不必都挤大医院基层医院能力上不去,患者纷纷挤到大医院看病,而大医院却因医疗资源有限而疲于应对。如何破解看病难问题?记者从昨日举行的湖南省医院协会分级诊疗管理专业委员会成立仪式上了解到,湖南已启动分级诊疗工作试点,多渠道培养全科医生,下调非基层首诊报销比例,引导慢性病患者下转。与会专家一致认为,要促进大医院优势资源下沉,采取各种帮扶举措,送技术到基层,帮助基层医院提升服务能力,真正帮助基层医疗机构“造血”。湖南省医院协会会长刘君武表示,省医院协会分级诊疗管理专业委员会成立,将带领全省各级医院共同建立基层首诊、双向转诊、急慢分治、上下联动的分级诊疗模式,逐步落实分级诊疗制度,真正做到基层首诊,变输血为造血。据悉,今后我省将建立基层首诊、双向转诊、急慢分治、上下联动的分级诊疗模式,让一、二、三级医院各司其职、各尽其责、各施所长,切实解决城乡居民“看病难、看病贵”问题。现状大医院一号难求,小医院门可罗雀据统计,2014年全国25860家医院中,三级医院仅有1954家(占比7.56%),但是其所提供的医疗服务量却达到了14亿人次,占全国所有医院诊疗人次的47.1%(2014年全国医院总诊疗人次29.7亿);而位于最底层的一级和未定级医院有17056家(占比65.96%),却仅仅提供了3.2亿人次的诊疗量(占比10.78%)。“大医院一号难求,基层医院门可罗雀的情况,在我省同样普遍存在。”湖南省人民医院院长祝益民表示,由于优质医疗资源相对集中在大城市,基层医疗机构诊治能力存在瓶颈,基层急危重症病人转诊困难,因此基层群众尤其是偏远地区老百姓的医疗需求得不到满足,一旦患上大病,看病难、看病贵问题就尤为凸显。有调查表明,在我国,选择小病去社区医院、大病去三级甲等医院的约占48.3%;无论什么情况都去三级甲等医院的为25.3%;基本在社区医院看病的为15.7%;初诊去三级甲等医院,再要配药时就去小医院的占4.5%;基本在民营医院看病的0.7%;其他5.5%。“这说明我们老百姓在就医选择方面,真正能够做到科学、理性,符合当前国情的不到半数。”祝益民表示,群众就医选择存在一定误区是一方面,另一方面是基层医疗机构在服务能力、人才建设等方面相比大医院确实存在差距,导致不少人不愿去小医院看病,而大医院则感冒、发烧等小病患者扎堆,不堪重负。目标将县域内就诊率提高到90%左右 据了解,为了基本实现“大病不出县”的目标,省政府办公厅今年6月发布《关于推进分级诊疗制度建设的实施意见》,省、市、县三级同步启动分级诊疗工作试点,其中,长沙市、株洲市全面开展分级诊疗试点,其他市州至少选择一个县市区开展试点。预计到2020年,基本建立符合省情的分级诊疗制度。《意见》明确,湖南将多渠道培养全科医生,逐步向全科医生规范化培养过渡,实现城乡每万名居民有2-3名合格的全科医生。同时,鼓励城市二级以上医院医师到基层医疗卫生机构多点执业,或者定期出诊、巡诊。全面提升县级公立医院综合能力,将县域内就诊率提高到90%左右,基本实现大病不出县。专家表示,分级诊疗制度的核心在于实现基层首诊和规范的双向转诊。《意见》鼓励并逐步规范常见病、多发病患者首先到基层医疗卫生机构就诊,对于超出基层医疗卫生机构功能定位和服务能力的疾病,由基层医疗卫生机构为患者提供转诊服务。有条件的地区可试行基本医保对象基层首诊制度,下调非基层首诊的报销比例10%-20%。同时,《意见》要求各级医疗机构应按照尊重病人就医习惯和就近便捷原则选择多家定点转诊医疗机构,对下转患者上级医院应明确接续治疗、康复治疗和护理方案,建立定期随诊制度。加快建设区域统一的双向转诊平台,逐步实行网上预约转诊、病案传送。此外,根据《意见》要求,我省还将重点控制三级综合医院数量和规模,严控医院床位规模不合理扩张。三级医院重点发挥在医学科学、技术创新和人才培养等方面的引领作用,逐步减少普通门诊,分流慢性病患者,缩短平均住院日。通过政策引导,推进居民或家庭自愿与签约医生团队签订服务协议。对策对口支援,扶持基层医院“多年来,我们在扶持基层医院方面进行了大量卓有成效的探索。”祝益民介绍,湖南省人民医院通过集团化、对口支援、远程医疗实现强基层的目的。近两年,该院先后吸纳桃江县人民医院和张家界市人民医院为集团医院,进行医院集团化的探索与实践,完善分级医疗管理体系,推动医疗资源合理流动,实现集团医院优势互补,畅通双向转诊绿色通道,通过“送下去”“请上来”相结合的方式,多措并举全面提升集团医院的管理能力和技术水平。通过多年的拓展与合作,目前与省人民医院建立对口支援协作关系的医院达99家,挂牌临床指导医院90家,社区联系医院84家,远程会诊协议单位120个。通过挂靠在湖南省人民医院的湖南省基层远程会诊中心与省内120家基层医院签订远程会诊协议,开展远程会诊、远程教学、专题学术讲座、手术直播带教、疑难病例讨论等多种形式的培训活动,每年会诊及接受患者咨询500多例。案例县级医院年门诊量增长50%“根据国家医改相关政策‘大病不出县’的要求,要让90%的患者在县域内得到治愈。”据桃江县人民医院院长詹运开介绍,为了达到这一目标,自2014年初开始,该院加入湖南省人民医院集团医院。省人民医院派驻管理干部、技术骨干参与医院管理、门诊、查房、手术、适宜技术推广,以及住院病人管理、讲座及乡镇义诊等,确保有7-11名副主任医师以上职称的专家长驻该院。同时,省人民医院与桃江县人民医院联合建立首席专家巡诊制,仅2016年便已开展巡诊12次,接诊病人2000余人次,讲座70余次,手术6台次;两家医院共同开展的专家博士团活动,让基层百姓在家门口就能享受到省城三甲医院的技术与服务;此外,集团内医院均可共享总院优质医疗资源,如外籍、知名专家讲座等。经过两年的合作,桃江县人民医院的临床科室从2014年的18个发展为现在的30个,新建了重症医学、新生儿科等科室;编制病床数从650张增加至1330张;该院的市级重点学科,从2014年的2个发展到了10个;省级重点学科也实现了零的突破,目前已有普外、儿科和护理专业获批创建省级重点学科。两家医院的合作,最终受益的还是当地的患者。据统计,桃江县人民医院2015年的门诊量已从上年的20余万人次增长到了30余万人次,增长了约50%;年出院人次从4万增长至了5.1万,增长了27.5%。根据桃江县医保部门的统计,2014年,该县流出的病人约占20%;到今年上半年,该县流出的病人已不到15%,更多的患者不出县便可把病看好。(长沙晚报 记者 唐江澎 通讯员 朱丽琴 梁辉)相关的主题文章: