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北京市属医院年内取消窗口挂号 推行预约就诊

2016-02-19 07:22:18   新京报

昨天,北京市卫计委相关负责人表示,2016年,北京将面临新的生育高峰。根据北京妇幼卫生信息系统监测数据预测,2016年北京市分娩量将达到30万左右,较2014年实施单独二孩生育政策一年增长20%。

为应对此次生育高峰,市卫计委表示,今年将会进一步明确三级助产机构接诊标准,大医院将主要接诊高危产妇。

据了解,高危孕产妇主要包括高龄、或患有各种急慢性疾病和妊娠并发症的孕产妇。目前,北京每位孕产妇建册时,基层卫生服务机构会进行病史询问,对高危因素予以初筛。同时,孕产妇是否属于“高危”的分级判定也是一个动态的过程,在产检过程中,如发现高危因素,也会随时启动转诊机制。

市卫计委相关负责人表示,希望已经建册的没有高危因素的孕妇,不要盲目地挤向三级医院。

各医院建档多少 将定期公示

针对建档难的问题,北京市卫计委要求,今后将定期公开各助产机构建档信息。这意味着各家医院的建档承载力如何,哪家医院目前建档已“满员”,哪家医院尚有“空位”将一目了然。

同时,北京市还将完善孕妇建册建档监测预警制度,监测辖区助产服务资源情况。监测系统发现产床“告急”时,将提出预警,以及时对医疗资源实施调配。今年,各区妇幼保健院还将设立孕妇建档服务中心,由服务中心协调解决“建档难”。

同时,为提高床位周转率,北京今年将严格剖宫产指征,对于无医学指征的产妇应杜绝剖宫产。

数据显示,2015年北京市三级助产机构产科床位使用率已高达108%,二级机构也高达89%,这说明北京三级助产机构的床位平均使用率,已经处于高负荷的状态。

■ 数说

[费用]

2015年,市属医院门诊次均费用为462.94元,全市三级医院467.00元。市属医院住院例均费用为20773.74元。

[用药]

2015年,市属医院药占比为39.24%,比2014年下降4.5%,较全市三级医院低6.34%。

[服务量]

2015年市属医院门急诊服务总量为3246.5万人次,比2014年增幅下降5.38个百分点。出院人数为76.45万人次,比2014年增幅下降5.9个百分点。

责任编辑:赵逸 CN039
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