“以前去第五医院很难挂上专家号，而如今在家门口就能看专家，还省下了8元钱的专家门诊挂号费，省力省钱又省心。”77岁的曹宝华老人高兴地说。

"It's hard to hang up the visit to the fifth hospital before,Now can see experts at home,Also save for 8 yuan of expert outpatient service the registration fee,Save save money and worry."Cao Baohua, a 77 - year - old old man said happily.

　　患有多年高血压和心脏病的她，一直在武汉市第五医院看病，但从去年7月份开始，她成了附近鹦鹉社区卫生服务中心的“忠实”病友。

She suffers from high blood pressure and heart disease for many years,Has been the fifth hospital in wuhan city,But since last July,She was near the parrot community health service center"loyal"patients.

　　这一切，得益于武汉市对公立医院与社区卫生服务机构合作的体制机制进行的创新。近年来，武汉市立足建设社区卫生服务体系，提升基本医疗和基本公共卫生服务能力，受到了群众的称赞。

All of this,Thanks to wuhan city for public hospitals and community health service institution innovations in the systems and mechanisms of cooperation.In recent years,Based on the construction of community health service system in wuhan city,Improve basic medical and public health service ability,Praised by the masses.

　　2008年，武汉市被卫生部确定为促进公立医院与社区卫生服务机构合作试点城市，引导公立医院与社区卫生服务中心合作，形成了直接举办、托管、直管和对口支援4种模式。现在，全市119个社区卫生服务中心与36个大医院建立合作关系。

In 2008,,Determining by the ministry of health in wuhan city to promote the public hospital and community health service institutions cooperation pilot cities,Guide the public hospitals and community health service center,Form the host directly/hosting/Straight and counterpart support 4 kinds of mode.now,119 community health service centers in the city and 36 big hospitals to establish relations of cooperation.

　　武汉市卫生局党委书记林国生介绍，直接管理(直管)是在坚持社区卫生服务中心独立法人地位、公益性质、职责不变的基础上，将其交给公立医院管理，由公立医院直接参与社区卫生服务中心经营活动和管理活动，形成区域性医疗共同体。

Party secretary of wuhan city health bureau Lin Guosheng is introduced,Direct management(Straight pipe)In adhere to the independent legal status in community health service center/The public good/On the basis of responsibilities remains the same,Hand it over to the management of public hospitals,Directly by the public hospitals to participate in the activities of community health service center operation and management activities,Form the regional medical community.

　　合作后，公立医院与社区卫生服务中心加强了联系、整合了资源，实现了内部管理、技术、设备资源和健康管理一体化。在市第五医院直管的社区卫生服务中心，现有医务人员统一归口到医院管理，并建立了医务人员“上(医院)、下(社区)”流动规则，一定程度上破解了优质人才“下得去、留得住”的难题。

After the cooperation,Public hospitals and community health service center to strengthen the contact/Integration of the resources,Internal management is realized/technology/Integration of equipment resources and health management.Fifth hospital of straight pipe in city community health service centers,Existing uniformly to the hospital medical staff management,And set up medical personnel"On the(The hospital)/Under the(community)"Flow rule,To some extent, cracked the high quality talent"Have to go under/To retain"The difficult problem.

　　在此基础上，公立医院将社区卫生服务中心作为医疗和康复的前哨，引导居民在社区首诊，分流病人，将常见病、多发病留在社区诊疗，将危重急症、疑难杂症送到医院诊疗，促进分级诊疗模式形成。

On the basis of,Public hospital to community health service centers for medical and rehabilitation of outpost,First option guide residents in community,Bypass patients,The common diseases/Frequently-occurring disease diagnosis and treatment in community,The severe diseases/Peculiar to the hospital diagnosis and treatment,Promote the classification diagnosis and treatment pattern formation.

　　武汉市第五医院院长张斌说，开展双向转诊、预约挂号等服务，将医疗服务的触角延伸到了基层；促进分级医疗和双向转诊，提高了病床周转率，从而使大医院集中精力做好急危重症患者的救治和重点专科建设，既盘活了自身资源，又提升了自身经济效益。(记者 付 文)

Wuhan fifth hospital dean zhang said,To carry out two-way referral/Make an appointment, etc,Tentacles extend to grassroots medical services;Promote health and two-way referral,Improve the sickbed turnover,Making big hospitals focus on treatment of critical patients and the key subject construction,Both revitalize their resources,And improve their economic benefits.(Reporters to pay,)