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中国加强医疗服务体系建设 遏制公立医院盲目扩张--亲民维稳网络舆情监测室
2012-10-19
中新网10月19日电 据中国政府网消息,国务院近日印发卫生事业发展“十二五”规划。规划提出,要加强医疗服务体系建设,遏制公立医院盲目扩张,每千常住人口医疗卫生机构床位数达到4张的,原则上不再扩大公立医院规模。
Beijing on October 19, according to the Chinese government network news,The state council has issued by the health service development"1025"planning.Plans to put forward,To strengthen the medical service system construction,Contain public hospital blind expansion,Per thousand permanent population medical and health institutions bedspace up to four zhang's,In principle, no longer expanding scale of public hospital.
1.优化配置医疗资源。坚持非营利性医疗机构为主体、营利性医疗机构为补充,公立医疗机构为主导、非公立医疗机构共同发展,以群众实际需求为导向编制区域卫生规划和医疗机构设置规划,按人口分布和流动趋势调整医疗资源布局与结构,合理确定公立医院功能、数量、规模、结构和布局。遏制公立医院盲目扩张,每千常住人口医疗卫生机构床位数达到4张的,原则上不再扩大公立医院规模。切实保障边远地区、新区、郊区、卫星城区等区域的医疗资源需求,重点加强儿科、妇产、精神卫生、肿瘤、传染病、老年护理、康复医疗、中医等领域的医疗服务能力建设,新增医疗卫生资源重点投向农村和城市社区等薄弱环节,保证基本医疗服务的可及性。大力发展康复医院、护理院(站)等延续性医疗机构,提高康复医学服务能力和护理水平,到2015年,初步实现急慢分治。加强妇幼医疗服务体系建设,提高妇女儿童医疗服务水平。严格控制大型医疗设备配置,鼓励共建共享,提高医疗卫生资源利用效率。引导患者合理就医,保障群众就近获得高质量的医疗服务。
1. The optimization allocation of medical resources.Adhere to the non-profit medical institutions as the main body/For-profit medical institutions for the supplement,The public medical institutions as the leading factor/The public medical institutions common development,With the actual demand as the guide to work out the regional health planning and program of the establishment of medical institutions,According to the population distribution and flow trend adjustment of medical resources layout and structure,To reasonably determine the function of public hospital/quantity/scale/Structure and layout.Contain public hospital blind expansion,Per thousand permanent population medical and health institutions bedspace up to four zhang's,In principle, no longer expanding scale of public hospital.Ensure the remote areas/new/suburbs/Satellite city of regional medical resource requirements,Strengthening pediatric/maternity/Mental health/tumor/Infectious diseases/Elderly care/Rehabilitation medical/The doctor of traditional Chinese medicine and other areas of the medical service ability construction,New medical and health resources to focus on rural and urban communities weak link,Ensure the basic medical service accessibility.Vigorously develop rehabilitation hospital/Nursing home(station)Medical institutions and continuity,Improve rehabilitation medicine service ability and nursing level,By 2015,Preliminary realize steep slow partition.Strengthen maternal and child health service system construction,The improvement of women's children's health service level.Strictly to control the large medical equipment allocation,Encourage the co-construction and sharing,To improve medical and health resources utilization efficiency.Guide the reasonable patients go to a doctor,Security people came near to obtain high quality of medical service.
2.大力发展非公立医疗机构。在区域卫生规划和医疗机构设置规划中,为非公立医疗机构留出足够空间。需要调整和新增医疗卫生资源时,在符合准入标准的条件下,优先考虑社会资本。放宽社会资本举办医疗机构的准入范围,鼓励有实力的企业、慈善机构、基金会、商业保险机构等社会力量及境外投资者举办医疗机构,鼓励具有资质的人员(包括港、澳、台地区人员)依法开办私人诊所。公立医院资源丰富的城市,可引导社会资本以多种方式参与包括国有企业所办医院在内的部分公立医院改制重组,积极稳妥地把部分公立医院转制为非公立医疗机构,适度降低公立医院的比重,促进公立医院合理布局,形成多元化办医格局。到2015年,非公立医疗机构床位数和服务量均达到医疗机构总数的20%左右。
2. Develop the public medical institutions.In the regional health planning and the establishment of medical institutions in planning,For the public medical institutions set aside enough space.Need to adjust and new medical and health resources,In accordance with the access standard conditions,Giving priority to social capital.Relax social capital held medical institutions access range,Encourage strong enterprise/charity/foundation/Commercial insurance institutions and other social forces and foreign investors hold a medical institution,Encourage of qualified personnel(Including port/Macao/Taiwan personnel)Set up a private clinic in accordance with law.Public hospital resources rich city,May guide the social capital in many ways including state-owned enterprises to participate in hospital, put part of the public hospital restructuring,Actively and steadily make some public hospitals for the conversion of the non public medical institutions,Moderate to reduce the proportion of public hospital,Promote the public hospital reasonable layout,Form diversified do medical pattern.By 2015,The public medical institutions bedspace and services in all medical institutions to around 20% of the total.
3.加强农村三级卫生服务网络建设。优先建设发展县级医院,提高服务能力和水平,使90%的常见病、多发病、危急重症和部分疑难复杂疾病的诊治、康复能够在县域内基本解决。继续加强乡镇卫生院和村卫生室建设。积极推进乡镇卫生院和村卫生室一体化管理。到2015年,基本实现每个乡镇有1所政府举办的卫生院,每个行政村有村卫生室,提高乡、村卫生机构设备配备水平。
(3) strengthen the rural tertiary health service network construction.Priority development hospital at or above the county level,Improve the service ability and the level,Make 90% of the common diseases/Frequently encountered disease/For emergency and severe cases and some difficult complex diseases, clinical diagnosis and treatment/Rehabilitation can be solved in the county.Continue to strengthen the construction of township health center and village clinic.Actively promote township health center and village clinic integration management.By 2015,Basic realization each township have 1 a health center government,Each administrative villages have village clinic,Improve township/Village health institutions equipment equipped with level.
4.完善以社区卫生服务为基础的城市医疗卫生服务体系。进一步健全社区卫生服务体系,充分利用社区综合服务设施,继续加强社区卫生服务中心(站)能力建设,完善社区卫生服务功能,逐步建立社区首诊、分级诊疗和双向转诊制度。到2015年,努力建成机构设置合理、服务功能健全、人员素质较高、运行机制科学、监督管理规范的社区卫生服务体系,原则上每个街道办事处或3万-10万居民设置1所社区卫生服务中心;建立起社区卫生服务机构与大医院、专业公共卫生服务机构上下联动、分工明确、协作密切的城市医疗卫生服务体系。
4. To perfect the community health service as the foundation of the urban medical and health service system.Further improve the community health service system,Make full use of community comprehensive service facilities,Continue to strengthen the community health service center(station)Ability construction,Perfect the community health service function,Gradually establish community first diagnosis/Hierarchical diagnosis and treatment and two-way referral system.By 2015,Strive to build a reasonable institutional setup/Service function perfect/Personnel quality higher/Operation mechanism science/Supervision and management standard of community health service system,In principle, every street offices or 30000-100000 residents set to 1 community health service center;Set up community health service institutions and hospitals/Professional public health service agencies and linkage/A clear division of labor in/Collaboration closely urban medical and health service system.
5.加强区域医学中心和临床重点专科能力建设。充分利用现有资源,在中央和省级可以设置少量承担医学科研、教学功能的医学中心或区域医疗中心。加强业务用房短缺、基础设施较差的地市级综合医院建设。加强临床重点专科建设,支持薄弱和急需医学学科发展,提升医疗技术水平和临床服务辐射能力。
5. Strengthen regional medical center and clinical key specialty ability construction.Make full use of existing resources,In the central and provincial can set a few for medical research/The function of teaching medical center or regional medical center.Strengthen business occupancy shortage/Infrastructure poor prefecture-level general hospital construction.Strengthen clinical key subject construction,Support the weak and in urgent need of medical subject development,Improve level of medical treatment and the clinical services radiation ability.
6.加强城乡医院对口支援。继续实施以“万名医师支援农村卫生工程”为主要形式的城乡医院对口支援。组织协调东西部地区医院省际对口支援。巩固完善城市三级医院与县级医院间的对口支援和协作关系。开展二级以上医疗机构对口支援乡镇卫生院工作,建立城市医院支农的长效机制。落实城市医院医生晋升中高级职称前到农村服务1年以上的政策。加强对口支援的管理和考核评估,调动支援医院和受援医院双方的积极性,建立合作双赢的运行机制。
6. Strengthen the urban and rural hospital to mouth support.Continue to implement to"Physicians support rural health project"As the main form of urban and rural hospital to mouth support.Organization and coordination between eastern and western regions in provincial hospital of support.Consolidate perfect urban tertiary hospital and the hospital at or above the county level of the right between support and cooperation relations.To carry out the second class above medical institutions of township health center support work,To establish the long-term mechanism of city hospital support.Implement city hospital doctor promotion before senior professional titles to rural service above 1 years policy.To strengthen the support of the management and evaluation,To mobilize support hospital and the hospital the enthusiasm of the recipient,To establish cooperation win-win operation mechanism.
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