首页|医联体背景下分级诊疗的难点与对策

医联体背景下分级诊疗的难点与对策

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自主选择的就医模式使得大多数患者选择三级医院首诊,三甲医院承担了不应该的轻症、常见病诊治.我国医联体服务模式探索较早,也是分级诊疗制度的重要载体.分析医联体与分级诊疗的关系,结合本单位在医联体建设中的遇到的实际问题,分析认为目前分级诊疗中存在办医主体利益难协调、下转动力不足、基层能力不足、转诊系统信息化建设不完善的问题,提出紧密合作、完善流程、加强引导、发挥基层特色,提高分级诊疗制度的实施力度.
Difficulties and Strategies for Hierarchical Diagnosis and Treatment under the Medical Alliance Background
Self-selected medical treatment mode has led to the majority of patients choosing tertiary hospitals as their first choice,burdening tertiary hospitals with the diagnosis and treatment of mild and common diseases.China's medical alliance service model has been explored in earlier time and is an important carrier of the hierarchical diagnosis and treatment system.The authors analyze the relationship between medical alliances and hierarchical diagnosis and treatment,and based on the practical problems encountered in the construction of medical alliances in their unit,they identify challenges such as difficulty in coordinating the interests of medical entities,insufficient downward referral motivation,inadequate primary care capabilities,and incomplete information construction of the referral system in the current hierarchical diagnosis and treatment system.They propose strategies including close cooperation,process improvement,enhanced guidance,leveraging primary care strengths,and increasing the implementation efforts of the hierarchical diagnosis and treatment system.

medical alliancehierarchical diagnosis and treatmenttwo-way referralprimary care

马琦、徐婕、史雨、柳龚堡、王艺、翟晓文

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国家儿童医学中心复旦大学附属儿科医院院办 上海 201102

国家儿童医学中心复旦大学附属儿科医院门急诊办公室 上海 201102

国家儿童医学中心复旦大学附属儿科医院医务部 上海 201102

医联体 分级诊疗 双向转诊 基层首诊

2024

医学与哲学
中国自然辩证法研究会

医学与哲学

CSTPCDCHSSCD北大核心
影响因子:1.314
ISSN:1002-0772
年,卷(期):2024.45(12)