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北京启动5年期“城市减重行动”

2016-01-21 05:36:52    新京报

盘活医生资源靠有效管理

医师执业电子化注册工作启动

背景:北京到底有多少执业医师?政府鼓励医生多点执业,可我怎能分辨在诊所或民营医院坐诊的“专家”孰真孰假?

这些问题,不仅普通人关心,也是深入推进医改过程中,北京市卫生计生委关注的大事。

举措:2014年底,受国家卫生计生委委托,北京市开始研究北京地区的医师电子注册,经过2015年在朝阳区卫生计生委和部分医疗服务机构的试点,现已初步建立在京医师执业信息的电子化注册系统,梳理出在京医生的执业状况分布,并着手为每一位执业医师建立完善的职业信息档案。

成效:医生执业信息的电子化注册,在试点过程中,受到在京执业医师的欢迎和100%参与。拟多地点执业的医生,只需凭北京地区的执业资格证,电子注册后,在线登记自己的第二或第三执业地点、执业范围等基本信息,通过审核后,即可在登记的医疗机构签约执业,省去在人事所在医院和不同区域卫生计生部门来回奔波、盖章,甚至与院长谈判、摊牌的繁琐。截至2015底,全市注册多点执业医师人数达到8177人。

展望:医生执业信息电子注册的作用,不仅仅是方便医生多点执业,还能降低行政成本,将原本分散在各个部门的医师执业范围、规范化培训、专业职级、处方权、执业奖惩情况等信息集中在医生个人惟一的电子职业档案中,既方便卫生行政部门对医生诊疗行为的实时管理,也方便接受社会监督。

为推进京津冀医疗协同发展,京津冀三地正在着手打造统一的医师执业信息电子化注册和监管平台。鼓励优质医疗资源在京津冀之间按需流动、向基层流动。

脊灰灭活疫苗纳入免疫规划

疫苗接种异常反应引入商保补偿

背景:2015年,全市传染病疫情平稳。北京地区已持续30年保持无脊髓灰质炎野病毒状态,19年无白喉病例;连续15年对外来流动人员开展麻疹、流脑疫苗免疫接种工作,连续8年对重点人群开展流感疫苗接种,儿童国家免疫规划疫苗接种率继续保持在97%以上。“十二五”期间,北京市各类传染病发病率呈现下降趋势,甲乙丙类传染病发病率比2010年下降了21%,全人群乙肝表面抗原流行率降至2.7%,登记管理肺结核患者系统管理率达到95%以上。

举措:经过连续3年的循证研究,北京市在全国率先调整免疫策略,将脊灰灭活疫苗纳入北京市免疫规划。

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