《中国分级诊疗的现状与思考》.docVIP

中国分级诊疗的现状及其思考 杨林斌 浙江省嘉兴市第一医院质量管理科， 浙江嘉兴 314000 【摘要】分级诊疗是我国新医改的重要内容,是实现医改近期和长期目标的重要制度保证。通过分级诊疗使不同层次医疗服务机构在诊疗功能上进行延续与分工，以达到“小病在基层、大病到医院、康复回基层”的患者有序流动，从根本上缓解我国现有医疗体制当中面临的“看病难、看病贵、看病乱”问题。文章阐述了我国医改的目标，分级诊疗的基本概念、意义。总结国内外分级诊疗体系经验的基础上，分析当前分级诊疗制度建设中的突出问题，并提出相应对策建议，以推进我国分级诊疗制度的建设。 【关键词】 分级诊疗； 制度 Present Situation and Reflection of China’s Hierarchical Diagnosis and Treatment Policy YANG Lin-bin Department of quality management ，Jiaxing First Hospital ，Jiaxing，Zhejiang 314000.P.R，China 【Abstract】 Hierarchical diagnosis and treatment policy is an important part in China’s new medical reform and also an important system guarantee in realizing its short-term and long-term target. Through hierarchical diagnosis and treatment policy, the diagnosis and treatment of medical service institution at different levels can be continued and divided, therefore patients may flow orderly among hospitals, curing aliment in small hospitals, serious disease in big hospitals and recuperate back at small ones, thus reliving the difficulty, high costs and disorder problems in China’s present medical system from the roots. This thesis talks about the target of our country’s medical reform as well as the basic principle and importance of hierarchical diagnosis and treatment policy and analyzes the protruding problems existing in the current construction of hierarchical diagnosis and treatment system with experience drawn form that of home and abroad. Meanwhile, some methods and suggestions are given here accordingly to hopefully push forward the establishment of this system. 【Key word】Hierarchical diagnosis treatment policy 2009年3月17号，中共中央国务院就新医改向全社会公布了《关于深化医疗卫生体制改革的意见》[1]，《意见》提出了有效减轻居民就医负担，切实缓解“看病难，看病贵”的近期目标，以及到“2020年基本建立健全覆盖城乡居民的基本医疗卫生制度，为群众提供安全、有效、方便、价廉的医疗卫生服务”的长远目标。 而分级诊疗作为深化医药卫生体制改革的产物，是实现有序就医的重要制度保证，也是为实现医改总体目标服务的重要抓手之一。诊疗过程实现基层首诊和双向转诊，其实质在于不同层次医疗服务机构在诊疗功能上的延续与分工协作【2】。 1.分级诊疗的意义 2014 年，在政府工作报告中李克强总理【3】提出“健全分级诊疗体系”。2015年9月，国务院办公厅印发了《关于推进分级诊疗制度建设的指导意见》【4】，明确了建立健全分级诊疗保障机