本市公立医院改革分级诊疗模式首个试点—北京朝阳医院医疗联盟昨天成立。包括朝阳医院在内的11家三级、二级和社区医院，将通过双向转诊等方式逐步实现医疗资源共享和统筹利用。联盟内的社区医院患者，除了可以向大医院转诊外，大医院的康复期患者也可转到联盟内的二级医院或社区卫生服务中心。

The city public hospital reform hierarchical diagnosis and treatment mode first pilot - Beijing chaoyang hospital medical alliance established yesterday.Chaoyang hospital, including 11 level 3/Level 2 and community hospitals,Through two-way referral etc gradually realize medical resources sharing and utilization as a whole.Union within the community hospital patients,In addition to the big hospitals outside the referral,Big hospital convalescence patients also can turn to alliance in secondary hospitals and community health service center.

整合床位 Integration beds

缓解三级医院住院难 Ease tertiary hospital difficult

　　这是市医管局首次推出分级诊疗模式。大医院的主要职责是承担部分危重疾病的诊疗和一般疑难复杂疾病的诊疗；二级医院主攻一般疑难复杂疾病和常见多发病；社区卫生服务中心负责常见多发疾病诊疗和慢病管理、康复治疗等。

This is the city for the first time ever launched hierarchical diagnosis and treatment mode.The main duties of the large hospital is critical to bear part of the disease diagnosis and treatment and the general difficulty of complex diseases diagnosis and treatment;Secondary hospital main attack generally difficult complex disease and common frequently occurring disease;Community health service center is responsible for the common multiple disease diagnosis and treatment and slow disease management/Rehabilitation therapy, etc.

　　首家医疗联盟中包括两家三级医院，两家二级医院和7家社区卫生服务中心。朝阳医院作为联盟内惟一的一家三甲大医院，今后将为联盟内其他医院开通患者双向转诊绿色通道，危重症转至朝阳医院，慢病管理和康复期患者转至二级医院和社区卫生服务中心延续治疗和康复。这不仅有望解决以往二级医院和社区医院床位利用率不高的问题，而且能在一定程度上缓解大医院康复期患者“出口”难和疑难重症患者住院难的问题。

The first medical alliance includes two tertiary hospital,Two secondary hospitals and 7 community health service center home.Chaoyang hospital within the alliance as the only a top big hospitals,The future will be in the league other hospital patients with the opening of the two-way referral green channel,Critically ill turn to chaoyang hospital,Slow disease management and rehabilitation period patients turn to secondary hospitals and community health service center continue treatment and rehabilitation.This not only is expected to solve the previous level 2 hospitals and community hospitals bed utilization rate is not high question,And can to a certain extent, ease the large hospital convalescence patients"export"Difficult and complicated critically ill patients in hospital the difficult question.

　　朝阳医院执行院长陈勇介绍，医疗联盟中，朝阳医院本部拥有床位1400张，联盟内其他医院拥有床位1200余张。成员单位为数不少的床位数，为常见病、多发病及康复期患者回归基层医疗机构提供了广阔的空间。

Chaoyang hospital executive director Chen yong is introduced,Medical league,Chaoyang hospital headquarters has 1400 beds,Within the coalition the other hospitals have beds 1200 copies.Members of a large number of bedspace,For common diseases/Frequently encountered disease and convalescence patients return to grassroots medical institutions to provide a broad space.

技术共享 Technology sharing

在大医院做检查可优先 In the big hospital inspection can be priority

　　患者不愿到社区看病的一大原因是很多检查社区做不了，今后朝阳医院将为联盟内的医疗机构开设化验检查直通车。

Patients do not wish to see a doctor to the community a big reason is that a lot of inspection community can't do it,Chaoyang hospital in the future will be in the alliance of the medical institutions to open laboratory tests through train.

　　一些在社区卫生服务中心或二级医院不能做的检查、化验，如：核磁共振(MR)、CT、病理和一些特殊化验等，社区医院可以将采集的患者检验标本送到朝阳医院的化验室进行检测，再把检测结果通过网络传回社区。对于那些必须患者到大医院做的检查，社区或二级医院派救护车并安排专人接送患者到朝阳医院，朝阳医院则会优先安排其接受CT、核磁共振等检查，检查和化验结果借助网络传送。

Some in the community health service center or secondary hospital can't do check/assay,if:Nuclear magnetic resonance (NMr)(Mr)/CT/Pathological and some special test,Community hospitals can acquisition of patients test specimens to the chaoyang hospital laboratory testing,Then the test results through the network back to the community.For those who have to patients to the hospital for examination,Community or secondary hospital send the ambulance and arrange special shuttle patients to chaoyang hospital,Chaoyang hospital will have the priority of the arrangement for its accept CT/Nuclear magnetic resonance examination,Inspection and test results with the aid of network transmission.

远程会诊 Remote consultation

大医院专家参与确诊治疗 Big hospital experts participate in diagnosis treatment

　　为吸引社区居民有病先到联盟内的社区卫生服务中心或二级医院，朝阳医院将在医疗联盟内部搭建统一的医学影像信息系统平台，实现联盟内的远程会诊。医生们可以借助这一平台，结合某些疑难危重患者的影像检查结果，交流诊断、治疗意见，患者在家附近的基层医院或社区卫生服务中心就可以得到来自大医院专家的会诊意见。

To attract community residents sick to the league first within the community health service center or secondary hospital,Chaoyang hospital will be in medical union building unified medical image information system platform,To realize the remote consultation in the league.Doctors can use this platform,Combined with some difficult critically ill patients with image inspection results,Exchange diagnosis/Therapy advice,Patients near his home in basic-level hospitals and community health service center can get from large hospital experts consultation opinion.

　　朝阳医院还将对联盟内的医院进行重点扶持，打造各自不同的医疗和康复特色。如朝阳区第二医院主攻心衰治疗，六里屯社区服务中心建立呼吸慢性疾病治疗中心，八里庄第二社区服务中心建立骨科康复中心。朝阳医院的专家还会定期到联盟内其他成员单位查房、出诊和会诊。朝阳医院的高年资医师还将帮助基层医疗机构的医务人员提高诊疗水平；一些离退休老专家将常驻某些社区卫生中心进行业务指导。

Chaoyang hospital will be to alliance inside the hospital for key support,Create different medical treatment and recovery characteristics.Chaoyang district, such as the second hospital main attack heart failure treatment,In the six chariot community service center set up breathing chronic disease treatment center,In the eight zhuang community service center to establish orthopaedic rehabilitation center.Chaoyang hospital experts will regularly to the league members in other units ward inspection/Home visit and consultation.Chaoyang hospital high qualification physician will also help grassroots medical institutions of medical personnel to improve the level of diagnosis and treatment;Some retired old experts will resident some community health center business guidance.

　　市医管局希望通过联盟的形式，让小病、常见病、慢性病患者回归一、二级医院和社区卫生服务中心，提高基层医院的技术水平和资源利用率；让大医院主攻疑难重症患者的抢救治疗、专业队伍的教学培训等。

City formed hope that through the form of alliance,Let the ailment/Common diseases/Chronic diseases patients a return/Secondary hospitals and community health service center,Improve the technology level of the hospital and resources utilization;Let the big hospital in severe cases, the main difficulty rescue treatment/Professional team teaching training, etc.

大医院带社区渐成趋势 Big hospitals with community jiancheng trend

两家医院也将成立联盟 Two hospitals will also set up a league

　　大医院通过共同体、医疗联盟等形式带动社区，在本市正在形成趋势。

Big hospital through the community/Medical alliance, as a form of community driven,In the city are forming trend.

　　记者了解到，除朝阳医院外，北京已选择友谊医院和世纪坛医院作为医院联盟的试点单位，目前两家医院已经开始与辖区内的一二级医院开展合作。待三家试点医院都建立了医疗联盟并取得一定经验后，这种方式将向全市推广。

The reporter understands,In addition to the chaoyang hospital,Beijing has chosen friendship hospital and millennium monument hospital as a hospital alliance of pilot units,At present the two hospitals have begun to and within the jurisdiction of 12 hospitals cooperation.For three pilot hospitals have established the medical alliance and obtained a certain after experience,This way to the promotion.

　　此前，已有个别医院做过类似尝试。上周，北京大学人民医院与海淀区建立医疗网络合作关系，多渠道解决辖区居民看病难问题。今后，海淀区居民在家门口的社区卫生服务中心就可以直接预约到人民医院未来两周内的专家号、普通号以及各种检查，前提是，社区首诊医生认为患者有必要转诊到人民医院。

after,For individual hospital for a similar attempt.Last week,Haidian district people's hospital of Beijing university and establish medical network cooperative relationship,Multi-channel solve jurisdiction residents see a doctor difficult problem.In the future,Haidian district residents in the doorway community health service center can direct appointment to people's hospital in the next two weeks ZhuanGuHao/Ordinary number and all kinds of inspection,Premise is,Community first clinical doctors think patients is necessary to referral to people's hospital.

　　明年1月将开诊的积水潭医院回龙观院区也将与回龙观地区的8个社区卫生服务机构合作，为这些社区培养医务人员、提供专家会诊和重症转诊服务，创造大医院和社区共同办医的新模式。

January will begin the ji shui tan hospital huilongguan fremantle hospital huilongguan area will also and eight community health service agencies,For these community medical personnel training/Provide expert consultation and critical referral service,Make a big hospitals and community together to do the new medical mode.

转诊可能遭遇两个瓶颈 Referral may encounter two bottleneck

社区零差率药品没大医院多 Community zero rate drug didn't big hospital more

　　医疗联盟相当于在大医院与社区间开通了一条双向转诊的绿色通道，但采访中一些老病号也担心具体操作时会有一些细节有待完善。例如，现在朝阳医院是医药分开试点，全院1400多种药品都是零差率销售，而社区尽管零差率政策开展得更早，但零差率药品种类只有500多种。

Medical treatment is equivalent to the league in major hospitals and community room opened a two-way referral of the green channel,But the interview some old patient also worry that the concrete operation will have some details to be perfect.For example,Now chaoyang hospital is medicine separate pilot,More than 1400 kinds of partial drugs are zero sales rate,And community although zero rate policy carry out earlier,But zero rate drug kinds only more than 500.

　　大医院转诊到社区医院进行康复的患者用药暂未与社区医院用药衔接，对此，医疗联盟希望对社区医院的用药进行相应扩容。

Big hospital referral to community hospital rehabilitation of the patients use temporary not and community hospital drug cohesion,this,Medical union wants to the community hospital drug corresponding flash.

　　社保部门昨天回应，社区面积有限，药房面积不会太大，因此药品种类不会像大医院那么多，而且目前社区用药目录基本涵盖了各种常见病、多发病、慢性病，只不过针对某一种病的药品种类没有大医院多。

Social security department response to yesterday,Community area co., LTD.,,Pharmacy area is not too large,Therefore drug species do not like a big hospital so much,And at present community medicine catalogue basic covers all kinds of common diseases/Frequently encountered disease/Chronic disease,Just for a kind of disease drug kinds no big hospital more.

社区看病个人报销要先选定 Community doctor must first selected individuals to submit an expense account

　　有患者担心转诊后的医保衔接问题。朝阳医院是医保A类定点医院，患者只要有医保卡就可以就诊，不需要事先选定，但一二级医疗机构却需要市民提前选择，办好手续才能报销。以一个心梗康复期的患者为例，在朝阳医院急救后如果需要转到社区继续住院康复，而他并没有事先选择这个社区卫生服务中心，那么费用将无法报销，这样，患者肯定不会同意转诊。而办理医保报销定点机构的选定或更改需要数天时间。对此，医疗联盟有关负责人透露，社保部门在医保报销政策等各方面将进行探索，给予朝阳医院医疗联盟支持，保证联盟内部转诊的顺畅。(记者 方芳)

After referral patients have worried about medical insurance connection.Chaoyang hospital medical insurance is A kind of fixed-point hospital,Patients as long as there is medical insurance card can see a doctor,Don't need prior selected,But it takes 12 medical institutions public choice in advance,Do good procedures can submit an expense account.With a heart attack and rehabilitation of the patients as an example,In chaoyang hospital emergency if need to turn to the community rehabilitation hospital stay,And he and without prior choose this community health service center,So fee will not be able to submit an expense account,this,Patients would never agree to referral.And to deal with medical insurance reimbursement orgnaization selected or change need a few days time.this,Medical union officials revealed,Social security department in medical insurance reimbursement policy and so on various aspects will be exploring,Give chaoyang hospital medical alliance support,Ensure that union internal referral smooth.(Reporter FangFang)