摘要
村医与乡镇医院作为农村三级医疗卫生体系的关键构成,在分级诊疗背景下开展医疗协作,对保障农村居民健康、推动农村基层医疗卫生发展意义重大。然而,当前两者协作存在诸多问题,如协作关系缺乏明确规范、双向转诊机制不完善、医疗人力资源配置失衡且整合不足、医疗信息平台建设滞后等。为此,需从完善顶层设计、健全转诊标准与流程、落实“乡聘村用”政策并推动医生多点执业、加大信息平台建设投入与应用推广等方面入手,明确协作关系,优化转诊机制,整合人力资源,加强信息平台建设,进而促进村医与乡镇医院的有效协作,提升农村基层医疗卫生服务水平。
Village doctors and township hospitals are important parts of the rural three-level medical and health system.Promoting the medical cooperation under the perspective of hierarchical diagnosis and treatment is of great significance to ensuring the health of rural residents and promoting the development of rural primary medical treatment.However,the medical cooperation between village doctors and township hospitals needs to be clarified;the two-way referral mechanism needs to be improved;medical human resources need to be integrated;and the construction of medical information platform needs to be promoted.Therefore,it is necessary to accelerate the clarification of medical cooperation relationship,establish and improve the two-way referral mechanism,promote the integration of medical human resources,and strengthen the construction of medical information platform,so as to improve the effective cooperation between the village doctors and county hospitals,and to promote the rural primary medical service level.
作者
刘伟
张远华
Liu Wei;Zhang Yuanhua(School of Social Work,China Civil Affairs University,Beijing,102600,China;School of Law,Tsinghua University,Beijing,100084,China;不详)
出处
《中国卫生经济》
北大核心
2025年第5期75-79,共5页
Chinese Health Economics
基金
国家社会科学基金项目(19XSH028)
中央高校基本科研业务费资助项目(JBKYZCLL2024-10)。
关键词
分级诊疗
医疗协作
农村基层医疗卫生
hierarchical diagnosis and treatment
medical collaboration
rural primary healthcare
作者简介
通信作者:张远华,E-mail:211068803@qq.com。
