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我国医疗质量和服务显著提升

2017-08-20 08:11:17   中国青年网

我国医疗服务总量位居世界之首,自1990年至2015年25年间,我国医疗质量进步幅度居全球第3位,从“不敢”“不能”到“领先”——

2017年5月,国际知名期刊《柳叶刀》发表了医疗质量和可及性全球排名,自1990年至2015年25年间,我国是医疗质量进步幅度最大的国家之一,排名从110位提高到第60位,进步幅度位居全球第3位。我国医疗质量不断提高的同时,备受关注的同质化程度也在提高。国内区域间医疗服务质量的差距由1990年的6.7缩小到2015年的1.2,而2015年全球区域间医疗服务质量的差距为20.1。

8月15日,国家卫生计生委就近年来医疗质量及服务可及性方面工作进展召开了媒体沟通会。国家卫生计生委医政医管局副局长郭燕红表示,《柳叶刀》杂志的文章,仅是从一个侧面佐证了我们国家医疗质量的持续改进和医疗质量同质化程度的不断提升。一直以来,我国医疗服务总量位居世界之首,且持续上升。2016年,全国医疗卫生机构总诊疗人数达79.3亿人次,较2015年增加2.4亿人次,在各方共同努力下,我国医疗质量安全稳步提升。住院死亡率逐步下降,且稳定在较低水平。目前,国家卫计委已成立国家级质控中心36个,基本涵盖了临床主要专业。

医疗服务能力明显增强

“我可以很自信地告诉大家,如果得了胸外科疾病,在手术治疗方面,中国是世界领先的,中国胸外科的微创手术技术已经达到世界领先水平。”北京大学人民医院胸外科主任王俊教授对记者说。

王俊告诉记者:“过去提起胸外科,人们想到的是胸口开几十公分的口子,是个大手术,因为当年80%的手术是开胸完成的,胸腔镜只是一个补充,但是现在人们提起胸外科想到的是腔镜,因为80%以上的手术是腔镜完成的。开胸只是胸腔镜手术的一个补充,胸外科手术诊疗模式发生了革命性变化。”

对于有些人认为出国看病更好的想法,中国医学科学院阜外医院院长助理郑哲教授表示,“从某种程度上来讲,事实足以打破社会上看病要去美国的想法,其实在中国完全可以得到非常好的治疗,因为有一些技术,我们要超越美国,美国介入治疗死亡率低于千分之三,而阜外医院做搭桥手术的死亡率也是千分之三,这个死亡率是与国际接轨的。此外在微创、腔镜手术方面,以及把介入治疗和外科手术结合起来的联合手术,在某些领域,我们在国际上是领先的。”

“在国际上,现在中国的麻醉也是话语权在迅速的提高。”中国医学科学院北京协和医院麻醉科主任黄宇光教授对记者说,现代麻醉学科的发展已经可以做到“麻醉无绝对禁忌症”,手术麻醉从子宫内胎儿、新生儿到百岁老人均可以做,解决了以前“不敢”、“不能”的问题,且麻醉相关死亡率显著低于发展中国家的平均水平。

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