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分级诊疗步步推进 基层医疗机构受资本热捧

2017-06-09 17:03:40   经济参考报

多个重量级文件密集出台

分级诊疗步步推进 基层医疗机构受资本热捧

随着分级诊疗政策落地,基层医疗机构将逐渐成为患者就医的第一渠道。在各创业公司集中火力抢占北上广深一线城市有限的三甲医院资源时,基层医疗市场的投资也愈加火热。有学者认为,人才仍是基层办医的最大障碍,针对这一问题,可以建立全科医生制度。

近期,几家基层医疗运营公司获得巨额融资。2017年4月,国内专业的社区医疗管理运营商“陕西强森社区医疗股份有限公司”宣布完成1亿人民币的B轮融资。3月,云南新康医疗管理集团有限公司宣布获得8500万人民币C轮投资,投资方为锐盛投资等机构。

根据国务院办公厅印发的《关于推进分级诊疗制度建设的指导意见》,到2017年,基层医疗卫生机构诊疗量占总诊疗量比例不低于65%。和发达国家相比,中国的基层医疗依旧有上升空间。在英国,90%的门急诊由家庭医生首诊,其中90%以上的病例没有进行转诊,由全科医师完成治疗。美国每年12亿人次的就诊量,其中81%发生在医院外的医生办公室。

君联资本执行董事汪剑飞认为,与这个数据相比,中国基层医疗依旧有很大的上升空间,而这些上升空间能否被补足,依赖于国家政策的调整。与此同时,基层医疗服务能力较差,软硬件服务跟不上,医护人员能力跟不上。这些都有可能为第三方服务带来商业机会。

不过,目前民营基层医疗中心面临的最大问题,一是缺乏人才,一是快速复制和盈利问题。有学者认为,人才仍是基层办医的最大障碍,针对这一问题,可以建立全科医生制度。

长期以来,绝大多数优秀医务人才高度集中在大型公立医疗机构。显而易见的人才痛点,导致民营医院在提升医疗质量的道路上举步维艰。正因为如此,民营医疗机构破解人才瓶颈后,局面才会有所改变。

从政策层面看,多个重量级文件的密集出台,为基层医疗机构发展创造了条件。5月23日,社会办医顶层文件公布。《国务院办公厅关于支持社会力量提供多层次多样化医疗服务的意见》(以下简称《意见》)提出,“发展社会力量举办、运营的高水平全科诊所,建立包括全科医生、护士等护理人员以及诊所管理人员在内的专业协作团队,为居民提供医疗、公共卫生、健康管理等签约服务。”

这是首次在国家文件中,明确提及发展全科诊所。此外,《意见》提出,“医师可以按规定申请设置医疗机构,鼓励医师到基层开办诊所。鼓励医师利用业余时间、退休医师到基层医疗卫生机构执业或开设工作室”。

事实上,在市场准入方面,个体诊所设置也已经终于不受规划布局限制。《意见》指出,“在审批专科医院等医疗机构设置时,将审核重点放在人员资质与技术服务能力上”,且“包括私人诊所在内的各类医疗机构用地,均可按照医疗卫生用地办理供地手续”。记者 李唐宁

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