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中日医院院长王辰接受《中国日报》关于医联体建设的采访:Guidelines to help fix national healthcare(2017年4月13日)

来源:中国日报 CHINADAILY 发布时间:2017-04-13 14:50:41

Guidelines to help fix national healthcare

By Zhang Yue and Shan Juan | China Daily | Updated: 2017-04-13 06:52

China will press to strengthen medical partnerships and arrange closer ties between top-tier hospitals and grassroots medical services to provide better health management and care for urban and rural residents.

A set of measures was approved during the State Council's executive meeting on Wednesday, presided over by Premier Li Keqiang.

"The goal for the medical partnerships is to make quality medical care more accessible to the wider public, especially in less-developed areas," Li said. "We've managed to set up nationwide medical insurance coverage and increased medical competence in grassroots medical institutions. The coverage is among the highest in the world. What we mostly need now are medical professionals."

People are demanding more and better healthcare, and the allocation of medical resources is a tough balancing act.

The idea of building partnerships across medical institutions providing different levels of care would help bridge the gap of resources. According to the National Health and Family Planning Commission, by 2016 medical partnerships had been set up in 205 cities across China.

"Currently, high quality medical resources are mostly in big cities. These should further trickle down to lower tiers so that wider demand will be met," Li said. "We must encourage joint partnerships of city level hospitals and grassroots institutions, while imposing expense reimbursements."

Wednesday's meeting yielded new measures.

Administrative fragmentation between regions, fiscal expenses, insurance payouts and human resources will be resolved. More diversified forms of medical partnerships will be encouraged, with top-tier hospitals taking on leading roles. The guidelines encourage an internet-based medical information platform to help better diagnose and prescribe treatments for rural patients.

中日医院院长王辰告诉《中国日报》记者,医联体是改善国家医疗照护体系的最可行的办法之一。他介绍,目前我国医疗资源,特别是优质医疗资源依然有限,且分布不均。各地医疗水平发展不平衡。培养更多高质量的医生,依然是一项长期而艰巨的任务。“建立医联体,是优化医疗资源最有效的手段。”王辰解释道。他强调,建立专科医联体尤为重要。作为呼吸系统疾病领域的知名专家,王辰和他所在的中日医院去年在全国范围内发起成立了第一个包括400余家医疗机构的呼吸专科医联体。“这一措施帮助基层医院提高了医疗照护能力,造福了当地患者,”他说。一个典型的医联体,至少应有一家大型综合性医院,以及与之相比级别较低的医疗机构,包括二级医院和社区医疗中心等,共享医疗资源,特别是专家资源。医联体的成立,将大大减轻大医院的负担,并对“小病去社区”的分级诊疗模式起到推动作用。

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