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唐山贯通“五条路径”推进分级诊疗制度建设

2017-05-08 19:41:21   国际在线

国际在线消息(记者张鸥 通讯员媛媛):日前,国家复核评价组来唐,对唐山市2016年度公立医院综合改革情况进行复核评价。据悉,唐山市被纳入第二批公立医院改革国家联系试点城市以来,初步构建医改唐山模式,取得了一定成效。唐山市通过贯通城乡诊疗路径、城区诊疗路径、县乡诊疗路径、城际诊疗路径、专病诊疗路径“五条路径”,着力从搭建符合百姓需求的诊疗路径入手,推动形成了上下一体的分级诊疗模式。

以组建医疗集团为平台,贯通城乡诊疗路径。据悉,唐山市以三级医院为龙头、二级医院为骨干、社区医疗服务中心及乡镇卫生院为基础,通过托管、兼并、战略联盟等方式,全面建立医疗集团,把城乡之间医疗机构串联在一起。目前,唐山市已建成“市工人医院、华北理工大学附属医院、市人民医院、开滦总医院、市中医医院”五大医疗集团,集团架构内二级综合医院合计39所,社区服务中心(站)78个,乡镇卫生院58个。

以院办院管社区为渠道,贯通城区诊疗路径。在市中心区,唐山市以公立医院“包片建站、院办院管”的方式,开设社区卫生机构,在医院与社区之间,通过信息化建设,实现上下联通。医院派出专科专家坐诊、带教,确保医疗服务质量。目前,城市公立医院开设院办院管社区卫生服务机构达到56个。

以县乡一体化为主要形式,贯通县乡诊疗路径。唐山市在县乡村构建一体化医疗服务体系,由县级医院对乡镇卫生院实行业务、财务、药采、人力、信息、分配统一。已确定迁安市、迁西县、玉田县等6个县(市)区为试点单位。

以京津冀协同发展为契机,贯通城际诊疗路径。积极推进唐山市医疗机构与京津医疗机构的合作,引入先进技术、理念,提升唐山市医疗机构疑难重症诊治能力。目前,唐山市二、三级医院与京津医院签署技术项目合作协议45个。此外,由曹妃甸区医院与北京安贞医院共建,总投资3500万元的“北京安贞医院•曹妃甸心血管疾病介入诊疗中心”项目于2016年7月正式挂牌开诊。全市分级诊疗区域化水平全面提升。

以专科、专病为纽带,贯通专病诊疗路径。唐山市积极构建专病诊疗协同发展医联体,推进专病诊治在市、县域内基本解决。全面发挥各质控中心专业及带教优势,促进医疗资源下沉。今年以来,唐山市耳鼻喉专业质控中心、风湿免疫质控中心已经完成约90个乡镇卫生院的巡讲,受训人员达4300余人。2016年11月6日,唐山市与全国卫生产业企业管理协会、北京中日友好医院等共同签署了《专病诊疗协同发展医联体战略合作协议》,专病诊疗路径进一步延长,全市区域内诊疗技术同质发展程度不断提升,百姓更加受益。

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