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闽西老区激发基层医疗机构新动力 群众小病不出乡大病不出县
2017-08-09 22:07:21 中国青年网
长汀副县长廖凤英在全省卫生与健康大会上作经验交流发言。
人民网龙岩8月9日电(吴隆重)村民在当地通过高清网络门诊可得到解放军总医院专家诊治,流动医院送医到家门口……近日举行的福建全省卫生与健康大会上,长汀县基层医改经验在会上交流,老百姓健康服务的新利好消息引起广泛关注。
长汀副县长廖凤英介绍,长汀一贯重视将优质资源下放到基层,提升群众的健康获得感。2009年基层医改实施以来,长汀全县已经累计投入1.62亿元用于基层医疗卫生机构固定资产(含设备)建设,比医改前增长364.9%,全县新增业务用房面积12.6万平方米,比医改前增长218.99%。目前长汀的县域就诊率达87%,其中乡级51.76%,基本形成“小病不出乡、大病不出县、疑难重症到大医院”的合理就医格局。
在长汀,医疗服务队等新型健康服务受到群众的欢迎,“马水良医疗服务队”等明星团队家喻户晓。2006年,32岁的内科医生马水良尝试带领医疗队,定期来到全县海拔最高的黄湖畲族村为村民看病,获得广泛赞誉。2009年,当地卫生院组建的5支流动乡村卫生服务团队全部命名为“马水良”医疗队。医疗队用摩托车载上仪器和药箱等,沿着崎岖的山路进村入户,对8个没有村医的村开展包片服务,每月定期巡诊两次,风雨无阻。直到2012年,这摩托车才改成救护车。目前,这种服务方式已经推广到全县,建立医疗队已有82支,对辖区内居民实行“网络化”管理。
近年来,长汀县在医疗领域推进军民融合取得重要成果,使基层获得更多优质医疗资源。据介绍,目前长汀县争取到解放军总医院、南京军区福州总院、南京军区第175医院等6个医院对口帮扶长汀县12个医疗卫生单位,争取到福建省内二、三级医院对口帮扶县乡两级医院,覆盖到全县所有基层医院。一些帮扶医疗机构与长汀县医疗机构建立远程会诊中心,同时开通市、县、乡三级高清网络门诊,2016年有12426人次通过在线会诊,进一步提高基层诊断能力。帮扶医疗机构还与长汀基层医院开展多层次医联体建设,由帮扶医疗机构派出临床医生全日制坐诊,建立康复联合病房,为基层医疗卫生机构培植“一院一品”特色专科服务。目前,长汀已经打造了康复专科、妇幼专科、流动卫生服务等特色医疗专科发展模式。据统计,2016年,长汀全县基层卫生院开展特色医疗服务诊疗人次占基层机构诊疗人次的40%。
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