摘要
自主选择的就医模式使得大多数患者选择三级医院首诊,三甲医院承担了不应该的轻症、常见病诊治。我国医联体服务模式探索较早,也是分级诊疗制度的重要载体。分析医联体与分级诊疗的关系,结合本单位在医联体建设中的遇到的实际问题,分析认为目前分级诊疗中存在办医主体利益难协调、下转动力不足、基层能力不足、转诊系统信息化建设不完善的问题,提出紧密合作、完善流程、加强引导、发挥基层特色,提高分级诊疗制度的实施力度。
Self-selected medical treatment mode has led to the majority of patients choosing tertiary hospitals as their first choice,burdening tertiary hospitals with the diagnosis and treatment of mild and common diseases.China's medical alliance service model has been explored in earlier time and is an important carrier of the hierarchical diagnosis and treatment system.The authors analyze the relationship between medical alliances and hierarchical diagnosis and treatment,and based on the practical problems encountered in the construction of medical alliances in their unit,they identify challenges such as difficulty in coordinating the interests of medical entities,insufficient downward referral motivation,inadequate primary care capabilities,and incomplete information construction of the referral system in the current hierarchical diagnosis and treatment system.They propose strategies including close cooperation,process improvement,enhanced guidance,leveraging primary care strengths,and increasing the implementation efforts of the hierarchical diagnosis and treatment system.
作者
马琦
徐婕
史雨
柳龚堡
王艺
翟晓文
MA Qi;XU Jie;SHI Yu;LIU Gongbao;WANG Yi;ZHAI Xiaowen(Hospital Office,Children's Hospital of Fudan University,National Chil-dren's Medical Center,Shanghai 201102,China;Outpatient Office,Children's Hospital of Fudan University,National Children's Medical Center,Shanghai 201102,China;Medial Department,Children's Hospital of Fudan University,National Children's Medi-cal Center,Shanghai 201102,China)
出处
《医学与哲学》
北大核心
2024年第12期22-24,共3页
Medicine and Philosophy
关键词
医联体
分级诊疗
双向转诊
基层首诊
medical alliance
hierarchical diagnosis and treatment
two-way referral
primary care
作者简介
马琦(1994-),女,硕士研究生,研究方向:卫生管理。;通信作者:翟晓文(1974-),女,博士,主任医。
