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中国网财经8月10日讯 今天上午,国家卫计委就“放管服”有关工作进展成效举行例行发布会。 国家卫计委医政医管局副局长焦雅辉表示,将再新增五类独立设置的机构类别,目前正在起草制定相关标准,这五类包括独立设置的康复医疗中心、护理中心、消毒供应中心、中小型眼科医院、健康体检中心。
焦雅辉称,之所以再新增这五类,主要是基于几个考虑,一方面国家在推进医养结合,医疗需求是老年人养老的最大需求,国家卫计委已经设置了安宁疗护中心,主要是针对中末期疾病的患者,比如晚期肿瘤的患者。她表示,这次新增的两类中,一个是康复医疗中心,另一个是护理中心,主要针对机构养老、居家养老和社区养老等长期的慢性病需求。比如有一些日间护理和照护,可以在护理中心,还有一些有康复需求的,可以到康复医疗中心。
焦雅辉说,健康体检中心,还有中小型眼科医院,目前社会力量提出来的申请比较多,社会力量要跟公立医疗服务体系错位发展,更多的还是瞄准非基本医疗的需求。“我们准备针对体检中心专门来做它的基本标准,也方便社会力量举办这一类医疗机构,满足不同层次的健康需求。”
还有一类是消毒供应中心,焦雅辉说,消毒供应中心事关医院感染控制,也是医疗安全不可突破的底线。规模比较小的基层医疗卫生机构,还有级别比较低的一些医院,在消毒供应方面缺少力量,由此也会导致在医院感染控制方面会出现一些安全隐患。“我们现在借鉴了一些国际经验,也是基于一些地方前期做了一定的探索。” 焦雅辉说,比照着检验中心和影像中心的思路和原则,一方面鼓励大医院,如三级医院,把它的消毒供应中心向区域开放,集中进行消毒处理,为基层医疗机构提供相应的服务。另一方面也鼓励社会力量举办第三方的集中消毒供应中心,为医疗机构提供消毒供应方面的服务,实现区域资源共享。在欧洲,有很多国家都已经在采用这样一种模式,独立设置的第三方消毒供应中心和医疗机构之间采取契约式服务模式,一方面有利于提高医院运行和管理效率,另一方面也有利于提高医院感染控制水平,保障医疗质量和医疗安全。
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