近日，卫生部要求开展评审“回头看”，2011年后新增的240多家三级医院被视为无效，此举引发社会的极大关注。

recently，The ministry of health requirements to carry out evaluation“Look back”，2011 years later add more than 240 tertiary hospital be regarded as invalid，This trigger social attention。

　　三级医院评审存在什么问题？医院等级评审制度意义何在？“新华视点”记者调查发现，除了“三甲”，需要“回头看”的还有医院等级评审制度本身。

Tertiary hospital evaluation exist what problem？What is the meaning of the rank of the hospital system？“Xinhua viewpoint”Reporter survey found，In addition to“top”，need“Look back”And rank of the hospital evaluation system itself。

跃进：一次评审八成过关　乡镇医院披挂“三甲” Leap forward：A review eighty percent pass township hospital to go“top”

　　三级甲等医院——这块金灿灿的牌匾，通常被挂在一些医院最醒目的位置。它并非黄金铸成，但在很多人眼里却比黄金还重。

Three level of first-class hospital - the golden plaque，Is usually hanging in some hospitals the markeddest position。It is not a gold，But in many people's eyes but also heavy than gold。

　　我国医院等级评审启动于1989年，综合医院按任务和功能，由低到高分为一、二、三级，其中三级医院明确定位是向几个地区提供高水平专科性医疗卫生服务和执行高等教育、科研任务的区域性以上医院。而每级则根据医疗水平及设施条件等，又分甲、乙、丙三个等级。“三级甲等”是目前我国医院的最高等级。

The rank of the hospital in our country started in 1989，General hospital according to the task and function，From low to high as a、two、Level 3，The tertiary hospital clear positioning is to provide high level several areas ZhuanKeXing medical and health services and implement higher education、Scientific research tasks more than regional hospital。And each level is, according to the medical level and facilities condition, etc，And points a、b、Propyl three levels。“Three level of first-class”At present in our country is the highest level of the hospital。

　　由于存在过于看重规模和硬件以及一些医院评上“三甲”后出现问题等情况，1998年卫生部暂停这项工作。随着2011年等级评审的重启，各地医院掀起“争级上等”的热潮。

Since there are too value scale and hardware and some hospitals on“top”After problems, etc，In 1998, the ministry of health suspend the work。With the 2011 grade appraisal to restart，Around a hospital“For superior level”upsurge。

　　“全民皆兵，整个医院都在为评级做准备。”正在为晋级努力的北京市垂杨柳医院副院长王永光说，这对不少医院来说是头等大事，关乎医院的生存发展。

“A soldier，The whole hospital in preparation for rating。”For promotion is to ChuiYangLiu Beijing vice President of the hospital WangYongGuang said，This is a top priority for many hospitals，For the survival and development of hospital。

　　“即使掉两层皮，也得冲进‘三甲’！”重庆一位“三级乙等”医院院长的“狠劲”道出不少同行的心声。

“Even if off two layers of skin，Also get rushed into the‘top’！”Chongqing a“Level 3 b, etc”Of the President of the hospital“HenJin”What a lot of peer heart。

　　除省市级医院外，一些县级医院也加入进来。卫生部医管司评价处处长刘勇近日透露，自2011年以来，全国晋升三级的240多家医院中，一半左右为县级医院，有些10万人口的县就配置一家“三甲”医院，甚至乡镇卫生院也挂上“三甲”。

In addition to the ﹑ provincial hospital，Some hospital joined at or above the county level。The ministry of health medical tube department evaluation marshal, recently revealed，Since 2011，The national promotion level 3 more than 240 in the hospital，About half at or above the county level for hospital，Some 100000 population county is a configuration“top”hospital，Even township health center also hung up“top”。

　　2011年3月，浙江省卫生厅公布的新一轮“三甲”医院名单，全省26家医院申报，21家通过，通过率达80.8%。同样在这一轮评审中，广东省东莞市厚街医院等多家镇级医院晋升“三甲”。

In march of 2011，Zhejiang provincial health bureau announced a new round“top”Hospital list，The province declared 26 hospitals，21 home through the，Passing rate reaches 80.8%。Also in this round of evaluation，Guangdong province houjie hospital, a number of other ZhenJi hospital promotion“top”。

　　有条件的医院纷纷评“三甲”，没有条件的创造条件，起码也要挤进三级。为此不少医院不断圈地扩建、大手笔引进设备。刘勇认为，这种状态容易破坏整个医疗服务网络，如果当地的就医量无法支撑医院的正常运转，就会造成医疗资源的浪费，还可能对控制医疗费用等造成负面影响。

Conditional hospital evaluation in succession“top”，No conditions to create conditions，At least also to squeeze into level 3。Therefore many hospital continuously enclosure expansion、Adopting imported advanced equipments。, think，This state easy to destroy the whole medical service network，If the local medical quantity cannot support the normal operation of the hospital，It will cause the waste of medical resources，May also to control the medical expenses caused negative influence。

　　此次卫生部要求开展评审“回头看”，就是针对部分省份评审缺乏规划、尺度过松、三级医院数量攀升等现象。卫生部专门下发《关于规范医院评审工作的通知》要求，对新增的三级医院省级卫生行政部门不得发给证书和等级标识，已发给的要立即收回。各地“三甲”医院及规划新增三级医院的评审结果，须报卫生部核准。

The ministry of health requirements to carry out evaluation“Look back”，In view of the partial provinces is the lack of planning、Scale too loose、Tertiary hospital quantity up wait for a phenomenon。The ministry of health issued by special《Hospital evaluation work on regulating the notice》requirements，For new tertiary hospital provincial health administrative departments shall not issue certificate and grade identification，Already send to immediately recover。around“top”Hospitals and planning new tertiary hospital evaluation results，It must be reported to the approval of the ministry of health。