记者6日从云南省卫生厅网站公布的信息中获悉，为积极稳妥推进我省县级公立医院综合改革试点，强化基层医疗服务体系建设，有效整合县域医疗服务资源，满足县域群众基本医疗服务需求，从10月开始，我省将在30个县级公立医院综合改革试点县先行实施县乡村医疗服务一体化管理。

Press 6 from yunnan province health department website that information,To actively yet prudently proceed with at or above the county level in our province public hospital comprehensive reform pilot,Strengthen the basic medical service system construction,The effective integration of the county medical service resources,To meet the basic medical service demand county,From October,Our province will be at or above the county level 30 public hospital comprehensive reform ShiDianXian first implementation county rural medical service integration management.

开通绿色通道 Open a green channel

　　近日，云南省卫生厅制定了《云南省县乡村医疗服务一体化管理指导意见》，对县乡村医疗服务一体化管理的主要内容和任务进行了明确。

recently,Yunnan provincial health bureau established[Yunnan province county rural medical service integration management guidance],To county rural medical service integration management of the main contents and missions have been clear.

　　《意见》要求三级医院要开通疑难病例转诊、县级医疗机构预约诊疗绿色通道，并承担县级医疗机构业务和管理的帮扶指导职能。三级综合医院、专科医院根据自身服务能力和专科特色，通过管理输出、技术输出、专家输出，开展分类指导，帮助提高县及县以下各级各类医疗机构的服务能力和水平。

[opinion]For tertiary hospital want to open difficult case referral/Medical institutions at or above the county level shall make an appointment diagnosis and treatment the green channel,And medical institutions at or above the county level for business and management of supporting guidance function.Level 3 general hospital/Specialized subject hospital according to their service capacity and specialized characteristics,Through the management output/Technology output/Experts output,Carry out classification guidance,To help improve the county and the medical institutions at various levels and of various kinds of service ability and level.

　　县级医院承担县域居民基本医疗服务，危急重症病人救治，重大疑难疾病的初诊、处置和转诊，适宜医疗技术的推广应用，自然灾害、突发公共卫生事件应急处置以及乡镇卫生院及基层卫生人员教学培训和技术指导等工作；乡镇卫生院和社区卫生服务中心负责提供公共卫生服务和常见病、多发病的诊疗等综合服务，并承担对村卫生室和社区卫生服务站的业务管理和技术指导；村卫生室和社区卫生服务站承担辖区居民的公共卫生服务及一般疾病的诊治等工作。

Hospital at or above the county level for county residents in the basic medical service,For emergency and severe cases in treatment of patients,Major difficult disease first visit/Disposal and referral,Appropriate application of medical technology,Natural disasters/Sudden public health incident emergency disposal and township health center and grassroots health personnel training and technical guidance, etc;Rural hospitals and community health service center is responsible for the provision of public health service and common diseases/The frequently occurring disease diagnosis and treatment and other integrated services,And the assumption of village clinic and community health service station business management and technical guidance;Village clinic and community health service station for residents of the area of public health services and general diseases, clinical diagnosis and treatment, etc.

探索建立城乡居民基层首诊制度 Explore the urban and rural residents to establish basic first diagnosis system

　　《意见》指出，要积极探索多种形式的县乡村医疗服务一体化管理模式。鼓励不同规模、不同级别的医院之间积极探索以资本、技术、管理为纽带，通过整体托管、重组、联合办医、团队帮扶、城乡对口支援、区域协同医疗、组建医院管理集团、医疗联合体等多种形式的县乡村医疗服务一体化管理的有效形式。

[opinion]Pointed out that,We should actively explore various forms of county rural medical service integration management mode.Encourage different scale/Different levels of hospital actively explore between capital/technology/Management as a link,Through the whole trust/restructuring/Joint do medical/Team to assist/Support of urban and rural/Area cooperative medical/A hospital management group/Medical association and so on many kinds of forms of county rural medical service integration management effective form.

　　《意见》中特别强调，我省要探索建立基层首诊、分级医疗、双向转诊制度。以基本医疗保障制度为依托，以价格为杠杆，以城乡基层医疗卫生机构为首诊机构，探索建立城乡居民基层首诊制度。并制定基层医疗卫生机构首诊后上转公立医院、公立医院诊疗后下转基层医疗卫生机构的标准、原则、流程和要求。保证医疗质量和患者安全，促进分级医疗、双向转诊科学、有序推进。

[opinion]Special emphasis in,Our province to seek to establish basic first diagnosis/Hierarchical medical/Two-way referral system.With basic medical security system based on,Price as lever,In urban and rural medical and health institutions led diagnosis mechanism,Explore the urban and rural residents to establish basic first diagnosis system.And make basic medical and health institutions after the first diagnosis in turn public hospital/Public hospital diagnosis after turn the basic medical and health institutions standard/principle/Process and requirements.Ensure the quality of medical treatment and patient safety,Promote grading medical/Two-way referral science/Orderly propulsion.

有条件的地区试行患者诊疗信息“一卡通” Conditional region trial patients diagnosis and treatment information"card"

　　我省将充分利用信息网络平台，建立统一管理、县乡村互通互联的医疗卫生管理信息网络平台，为实现县乡村一体化管理提供技术支撑。推动建立以电子病历和居民健康档案为基础的医院信息系统和区域卫生信息系统。

Our province will make full use of information network platform,Establish a unified management/County rural communication Internet health management information network platform,To realize county rural integration management to provide technical support.To promote the establishment of electronic medical records and residents health file based on the hospital information system and regional health information system.

　　加强公立医院与城乡基层医疗卫生机构信息化沟通，建立互联、互通的信息网络，及时沟通患者诊疗信息，运用信息化、网络化手段，方便双向转诊。充分运用已经建成的远程会诊系统，开展远程病理诊断和远程疑难重症会诊等服务，实现城市优质资源与县级医院的互补和相互支持，充分发挥优质医疗资源的辐射作用。

To strengthen the public hospital and urban and rural medical and health institutions information communication,To establish the/The communication of information network,Timely communication patients diagnosis and treatment information,Using the information/Network means,Convenient two-way referral.Make full use of the remote consultation system has been built,Carry out remote pathological diagnosis and remote difficult intensive consultation services,To realize high quality resources city and county hospital complementary and mutual support,Give full play to the high quality medical resources radiation effects.

　　此外，将鼓励有条件的县区试行患者诊疗信息“一卡通”和县、乡远程会诊，实现县域居民健康档案信息资料的有效利用。(记者 王琳)

In addition,Will encourage conditional counties with information for diagnosis and treatment"card"And county/Township remote consultation,County residents health file to realize the effective use of information.(Reporter wang Lin)