医院管理论坛
醫院管理論罈
의원관이론단
HOSPITAL MANAGEMENT FORUM
2015年
4期
6-8
,共3页
城市医院%县级医院%分级诊疗%托管%医改
城市醫院%縣級醫院%分級診療%託管%醫改
성시의원%현급의원%분급진료%탁관%의개
City hospital%County hospital%Hierarchical diagnosis and treatment%Trusteeship%Health care reform
目的回顾浙江省优质医疗资源下沉一年的成效和不足，探讨推进方法。方法由省市三级医院定期派遣管理技术团队并担任县级医院的行政职务，从医院管理、医疗质量、医疗技术等进行半年至一年的连续扶持，结合医疗网络服务平台构建、信息化建设等给予全方位的帮扶指导。结果优质医疗资源下沉工作一年，取得了显著的经济和社会效益，但也出现了财物下沉困难、被托管医院的被动性、职工对利益的担心、医疗资源配置新的不平衡等问题。结论优质医疗资源下沉是城乡医院对口支援工作的大胆创新和有益尝试，为进一步推进下沉工作，必须深化医改，加快推进公立医院综合改革。
目的迴顧浙江省優質醫療資源下沉一年的成效和不足，探討推進方法。方法由省市三級醫院定期派遣管理技術糰隊併擔任縣級醫院的行政職務，從醫院管理、醫療質量、醫療技術等進行半年至一年的連續扶持，結閤醫療網絡服務平檯構建、信息化建設等給予全方位的幫扶指導。結果優質醫療資源下沉工作一年，取得瞭顯著的經濟和社會效益，但也齣現瞭財物下沉睏難、被託管醫院的被動性、職工對利益的擔心、醫療資源配置新的不平衡等問題。結論優質醫療資源下沉是城鄉醫院對口支援工作的大膽創新和有益嘗試，為進一步推進下沉工作，必鬚深化醫改，加快推進公立醫院綜閤改革。
목적회고절강성우질의료자원하침일년적성효화불족，탐토추진방법。방법유성시삼급의원정기파견관리기술단대병담임현급의원적행정직무，종의원관리、의료질량、의료기술등진행반년지일년적련속부지，결합의료망락복무평태구건、신식화건설등급여전방위적방부지도。결과우질의료자원하침공작일년，취득료현저적경제화사회효익，단야출현료재물하침곤난、피탁관의원적피동성、직공대이익적담심、의료자원배치신적불평형등문제。결론우질의료자원하침시성향의원대구지원공작적대담창신화유익상시，위진일보추진하침공작，필수심화의개，가쾌추진공립의원종합개혁。
Objective To review the achievements and shortcomings of transferring high quality medical resources to grass-roots medical institutions for one year in Zhejiang Province and explore promotion methods.Methods Management and technical team from tertiary hospitals at the provincial and municipal level was regularly dispatched to county hospitals to execute administrative duties and provided support in terms of hospital management, medical quality, medical technology for six months or one year, which gives an all-round guidance by combining medical network service platform construction and information construction etc..Results Transferring high quality medical resources to grass-roots medical institutions has achieved remarkable economic and social benefits after one year's practice, but it also appeared some problems like difficulty in transferring funds and materials, passive attitude of mandated hospitals, employees' worry about interests and medical resource allocation imbalance etc..Conclusion Transferring high quality medical resources to grass-roots medical institutions is a bold innovation and the beneficial attempt for targeted aid work between urban and rural hospitals. To further promote the work, we must deepen the health care reform and accelerate the comprehensive reform of public hospitals.
