北京市首个分级诊疗模式试点医院北京市朝阳医院医疗联盟7日正式成立。这意味着朝阳医院将分别与1家三级医院、2家二级医院及7家社会卫生服务中心实行医疗双向转诊合作制度。为什么要成立医疗联盟？医疗联盟能为老百姓看病带来哪些便利？新华网记者就网友关心的问题独家专访了北京市朝阳医院执行院长陈勇。

Beijing's first hospital diagnosis classification model pilot Beijing chaoyang hospital medical alliance 7, formally established.This means that the chaoyang hospital will respectively with the home 1 tertiary hospital/Two secondary hospitals and seven home social health service center executes medical treatment two-way referral cooperation system.Why to set up medical alliance?Medical alliance for common people to see a doctor bring which is convenient?Xinhuanet reporter is net friend concern exclusive interview the Beijing chaoyang hospital executive director Chen yong.

　　双向转诊便于患者挂号、化验和康复治疗 Two-way referral facilitate patients registered/Laboratory testing and rehabilitation therapy

　　组成医疗联盟的机构除了北京市朝阳医院外，还包括1家三级医院武警北京市总队医院、2家二级医院朝阳区第二医院、朝阳区中医院以及高碑店、六里屯、八里庄第二、三里屯、团结湖、十八里店和八里庄等7家社会卫生服务中心。医疗联盟的分级诊疗模式主要是三级医院承担部分危重疾病和一般疑难复杂疾病的诊疗；二级医院承担一般疑难复杂疾病和常见多发病的诊疗；社区卫生服务中心主要承担常见多发疾病诊疗、慢病管理、康复治疗等。

Composition medical alliance organization in addition to the Beijing chaoyang hospital outside,Also includes 1 home tertiary hospital of Beijing armed police corps hospital/Two secondary hospital the second chaoyang district hospital/Chaoyang district hospital of traditional Chinese medicine and gaobeidian/Six in tuen/In the eight zhuang/sanlitun/TuanJieHu/ShiBaLiDian and eight zhuang in 7 home social health service center.Medical alliance hierarchical diagnosis and treatment mode is mainly to bear part of the third class hospitals in critical disease and the general difficulty of complex diseases diagnosis and treatment;Secondary hospital take general difficult complex disease and common frequently occurring disease diagnosis;Community health service center are mainly responsible for common disease diagnosis and treatment/Slow disease management/Rehabilitation therapy, etc.

　　有网友关心，实行双向转诊后，疑难杂症病人或危重病人到社区医院就诊后是否能转至三级医院？在大医院治疗后病人是否需要回到社区医院进行康复治疗？

Netizens care,After a two-way referral,Incurable diseases patients or critically ill patients to community after the hospital can turn to tertiary hospital?In large hospitals after treatment whether the patient need to get back to the community hospital rehabilitation?

　　陈勇介绍，双向转诊模式包括联盟单位帮患者在朝阳医院预约挂号；某些联盟单位不能进行的检查、化验，如核磁共振(MR)、病理和一些特殊化验等，可以将采集标本送至朝阳医院；来自联盟成员单位的患者，朝阳医院将优先安排其接受CT等检查，联盟单位派救护车并安排专人接送患者到朝阳医院检查，检查和化验结果借助网络传送；社区医院今后也会建立个人健康信息档案，记录患者病史，此外，朝阳医院每个科室有专家与联盟单位对接，共商每天固定到社区医院出诊的专家，并组织社区医院医生培训。

Chen yong introduces,Two-way referral patterns including alliance unit help patients in chaoyang hospital make an appointment;Some union unit can not carry out inspection/assay,Such as nuclear magnetic resonance (NMr)(Mr)/Pathological and some special test,Can be collected specimens sent to the chaoyang hospital;From the alliance member unit of the patients,Chaoyang hospital will have the priority of the arrangement for its accept such as CT examination,Alliance unit send the ambulance and arrange special shuttle patients to chaoyang hospital inspection,Inspection and test results with the aid of network transmission;Community hospitals in the future will also establish personal health information archives,Record history of patients,In addition,Chaoyang hospital each department have experts and alliance unit butt,Discuss the fixed to a community hospital every day of visit a patient at home experts,And organize community hospital doctor training.

　　在高碑店社区卫生服务中心，记者看到社区医院放射科的设施与有的大型医院设备并无两样，医院检查科室外，有3至4位患者等候就医。

In gaobeidian community health service center,The reporter sees community hospitals radiology department of facilities and some large hospital equipment and no two,The hospital inspection section outdoor,There are three to four patients waiting for medical treatment.

　　据了解，朝阳医院已经于2004年与各医院、社区卫生服务中心试行双向转诊模式。数据显示，5年来双向转诊共5000余人、为社区患者提供预约挂号10000余人次，提供化验、检查绿色通道3000余人次。

It is understood,Chaoyang hospital has been in 2004 with the hospital/Community health service center for trial implementation two-way referral patterns.Data display,Five years two-way referral and more than 5000 people/For the community to provide make an appointment with more than 10000 people,Provide laboratory/Check the green channel of more than 3000 people.

　　让老百姓愿意到社区医院看病 Let people willing to to community hospital

　　大医院看病难一直是网友关心的话题。先进技术与人才等优质资源大多集中在大医院，令很多人形成只有到大医院看病才放心的习惯。如何让老百姓信任社区医院，这解决“看病难”的关键之一。

Big hospital difficult has been net friend about the topic of.Advanced technology and talent quality resources mostly concentrated in the big hospitals,Make a lot of people form only to the hospital just trust of habit.How to make people trust community hospital,To solve this"See a doctor difficult"One of the keys to.

　　陈勇说，随着医改对基层医院的建设，现在北京市各社区医院硬件设施都已有很大改善，但也不回避这有老百姓对二级医院与社区医院的信任问题，这也是医院需要提升的软件。

Chen yong said,As to the construction of medical basic-level hospitals,Now Beijing each community hospital hardware facilities have improved greatly,But also don't avoid the common people on the secondary hospitals and community hospitals trust problem,This is also the hospital need to improve software.

　　“为了让社区居民有信任感，也让转诊到基层医院进行康复治疗的病人感受到治疗连续性，现在三甲医院的专家都会到社区医院定期定点定期抽诊查房。”陈勇说，“我们希望通过医疗联盟建立起患者的信心，引导患者分级就诊，这既避免了大医院优质资源既稀缺也浪费的尴尬，也减少了患者的奔波之苦，对于疑难杂症患者来说挂号也更容易。”

"In order to let the community residents have sense of trust,Also let referral to a primary hospital rehabilitation of patients feel treatment continuity,Now 3 armour hospital experts will be to community hospital regular fixed point regular extraction inspecting room."Chen yong said,"We hope that through medical alliance build up confidence of patients,Guide the patients to see a doctor classification,This is to avoid the large hospital quality resource is scarce also waste awkward,Also reduced the patients suffering on the run,For patients with incurable diseases for registered more easily."

　　朝阳医院医疗联盟成立后总床位数约为3100张，其中，朝阳医院本部拥有床位1400张，而联盟内其他医院拥有床位1200余张(三级医院500张、二级医院450张、社区中心270张)。在陈勇看来，这些硬件设施将为三级医院顺畅转诊提供保障，缓解三级医院康复期患者“出口”难的问题。

Chaoyang hospital medical alliance after the establishment of a total bedspace about 3100 copies,the,Chaoyang hospital headquarters has 1400 beds,And in the other hospitals have beds league 1200 copies(Tertiary hospital 500 copies/Secondary hospital 450 copies/Community center 270 copies).In Chen yong seems,These hardware facilities for tertiary hospital smooth referral to provide security,Ease tertiary hospital convalescence patients"export"Difficult problem.

　　“现在患者可以转诊到社区医院，朝阳医院住院日有望降低，出院的病人会增多，也会提高医院诊疗效率，住院难问题也会得到缓解。”陈勇说。

"Now patients can referral to community hospitals,Chaoyang hospital day in hospital is expected to reduce,Discharge of the patients will increase,Will also improve hospital diagnosis efficiency,Hospital difficult problem will also ease."Chen yong said.

　　陈勇认为，在公立医院改革推进过程中，医院利益机制在发生变化，大医院优势资源与基层医院共享，各级医疗机构发挥自己优势，患者按各自所需分级诊疗，这将从一定程度上缓解老百姓眼里的看病难的问题。

Chen yong think,In the public hospital reform process,Hospital benefit mechanism in change,Big hospital advantage resources and share the basic-level hospitals,Medical institutions at all levels play to their advantage,According to their respective patients required hierarchical diagnosis and treatment,This will in a certain extent, ease the eyes of the common people to see a doctor difficult question.

　　医疗联盟内有望同享医保结算待遇 Medical alliance is expected to share in the medical insurance settlement treatment

　　建立医疗联盟后，定点医院的医保患者在分级诊疗时产生的医保费如何结算？有网友提出，朝阳医院已经实施医药分开改革，但是分级诊疗的二级医院与部分社区医院并没有实施药品零加成，回到社区医院治疗后有的药品又会加价，这些会否给患者看病造成不便？

Establish the medical union,Fixed-point hospital medical diagnosis and treatment in patients with classification is generated when medical insurance fee how to settlement?Have net friend put forward,Chaoyang hospital has implemented a reform of the medical separate,But hierarchical diagnosis and treatment of the secondary hospital and part of the community hospital and did not carry out drug zero addition,Back to the community hospital after treatment some drugs and tariffs,These will be no give patients inconvenience to see a doctor?

　　陈勇说，朝阳医院与北京市人社局已经进行过沟通，北京市人社局原则上答应将纳入联盟的成员单位与朝阳A类定点医院一样享受医保结算待遇，联盟运作过程中会逐步解决涉及的各种问题。

Chen yong said,Chaoyang hospital and Beijing people club bureau have already had communication,Beijing people club bureau in principle promised to transfer into the members of the alliance unit and chaoyang class A fixed-point hospital medical insurance settlement as enjoy treatment,In the process of alliance will be solved step by step involves various problems.

　　“相信经过几年建设，通过大医院对各地医院医疗技术与医疗服务的支持，最终建立起社区医院的自我发展能力。”陈勇说。

"Believe that after several years construction,Through the large hospital in various hospital medical technology and medical service support,Finally set up community hospital self development capability."Chen yong said.

　　另据北京市医院管理局局长封国生透露，随着朝阳医院医疗联盟的正式运行，北京市友谊医院与世纪坛医院也在积极推动医疗联盟试运行，有望在2013年启动。李莹

According to another Beijing hospital authority seal countries born revealed,Chaoyang hospital medical alliance with the formal operation,Beijing friendship hospital and millennium monument hospital are also actively promote medical alliance commissioning,Is expected to begin in 2013.LiYing