CAJ | 학술논문

针对我市大医院门急诊量迅速上升、看病住院预约时间过长、社区卫生服务机构工作量不足等现象,我们进行了<大医院看病难、住院难和社区卫生服务中心部分资源闲置成因分析>课题研究.通过调查分析表明,30年来大医院的发展规模总体上与社会经济发展速度相适应;看病难、住院难是由于外来人口增长过快、就医需求快速增长、就医结构发生倒置、医院工作效率不高、受传统就医理念影响、医保政策引导不力、社区卫生服务机构能力不强等因素造成.提出了要调整医保政策,推行社区首诊制和完善双向转诊制度,进一步加强基层医疗机构能力建设;大医院要进一步优化医疗服务流程,努力提高医院工作效率;要研究制订相应优惠政策,积极鼓励和进一步加快民营医疗机构的建设与发展速度等缓解大医院看病难、住院难和使社区卫生服务机构资源得到有效利用的相关对策.
침대아시대의원문급진량신속상승、간병주원예약시간과장、사구위생복무궤구공작량불족등현상,아문진행료<대의원간병난、주원난화사구위생복무중심부분자원한치성인분석>과제연구.통과조사분석표명,30년래대의원적발전규모총체상여사회경제발전속도상괄응;간병난、주원난시유우외래인구증장과쾌、취의수구쾌속증장、취의결구발생도치、의원공작효솔불고、수전통취의이념영향、의보정책인도불력、사구위생복무궤구능력불강등인소조성.제출료요조정의보정책,추행사구수진제화완선쌍향전진제도,진일보가강기층의료궤구능력건설;대의원요진일보우화의료복무류정,노력제고의원공작효솔;요연구제정상응우혜정책,적겁고려화진일보가쾌민영의료궤구적건설여발전속도등완해대의원간병난、주원난화사사구위생복무궤구자원득도유효이용적상관대책.
We staged this study in view of the sharp rise in workload for outpatients and emergency services,and long appointment duration of outpatients and hospital admission in large hospitals,as well as unused resources at community healthcare centers at large in the city.Results of the study indicate that the development of large hospitals in the past 30 years is basically in line with the social and economic development in general;difficulties getting medical treatment and admission in large hospitals result mostly from sharp rise in migrant population,fast rise of medical service demand,inverted proportion of medical service demands,low efficiency at hospitals,traditional concept on medical service seeking,poor guidance of medical insurance policy,and incompetence of community healthcare institutions.Based on these findings,it proposed the following countermeasures:Adjust medical insurance policies to advocate the first-treatment in communities and dual-referral practices,aiming at furthering capabilities at grass-root healthcare units;optimize medical service process and efficiency at large hospitals;study and develop preferential policies to encourage and step up the development and speed of private hospitals to ease the aforesaid difficulties,and to fully leverage resources at community healthcare institutions.