订制式菜单让医联体合作更精准

2017-09-13 程守勤 健康报

正是中大医院首推的医联体订制模式,吸引泗阳县中医院加盟中大医院医联体,还订制了呼吸科、儿科、骨科等6个专科诊疗分中心。而王西华等一批专家用了1年多的时间,让这几个分中心一跃成为当地百姓认可的品牌科室。

8月31日8时,东南大学附属中大医院呼吸内科王西华主任医师,如约来到江苏省宿迁市泗阳县中医院的专家门诊坐诊。每周四,他都在这家医院开展门诊、会诊、教学查房、培训指导。正是中大医院首推的医联体订制模式,吸引泗阳县中医院加盟中大医院医联体,还订制了呼吸科、儿科、骨科等6个专科诊疗分中心。而王西华等一批专家用了1年多的时间,让这几个分中心一跃成为当地百姓认可的品牌科室。

合作以需求为导向

家住泗阳县城的李先生深有体会。以往做气管镜检查,都要到南京、上海等地的大医院,如今泗阳县中医院的医生就可完成。泗阳县中医院长薛伟介绍,仅2016年,该院就独立开展气管镜手术170余例,肺穿刺手术3例。而今年1月~8月,气管镜手术已达180例,原本技术薄弱的呼吸科,很快成为该县最具影响力的呼吸专科,患者留下来了,病床使用率也由原来的30%增长到100%。
中大医院院长滕皋军说,订制的原则是以需求为导向,不设任何门槛。为此,先后推出院区、分院、分中心、专家工作站、派驻专家人才等多种合作形式,医联体之间还分融合型、紧密型、松散型等,有院府合作模式,也有院院合作模式。

盱眙县人民医院2015年成为中大医院集团医院。“中大医院全面开放医、教、研、管等资源,列出自选菜单平等合作,连进修学习都可以随到随学,不受学期学制限制,正合我们心意。”盱眙县人民医院院长张卫东说。

张卫东从中大医院医联体合作菜单上,点了几道“菜”:中大医院肝胆胰中心主任周家华教授担任盱眙县人民医院副院长兼普外科主任,中大医院妇产科主任蔡云朗任盱眙县人民医院妇产科主任,重症医学科主任杨从山担任急诊中心主任、重症医学科主任。3位专家到任后,整章建制、规范培训、严把质量、创新技术。

两年来,盱眙县人民医院普外、妇产、重症医学科,需要上转的患者大量减少,三级、四级手术也可开展,95%的患者留在了当地,一批临床骨干人才成长起来。杨从山介绍,目前,盱眙县人民医院的ICU病床已从4张增加到20张,医生也从4人增加到10余人,救治病种类型及成功率均得到大幅提高,在该县及周边地区名声大增。

张卫东说,全方位的整合发展令这家二级医院通过顶层设计、流程再造,有了更高发展目标:不仅瞄准三级医院定位,国家住院医师规范化培训基地协同基地落户该院,更是对医联体带动医、教、研全面发展最好的诠释。

借助信息化才能“跑得远”

盐城市滨海县人民医院副院长兼影像中心主任刘斌,是中大医院派驻滨海集团医院的放射科专家。此前,滨海县人民医院放射科不仅医生少,连正常出报告都很困难,当地患者不得不到盐城、南京等地去看病。如今该院的影像中心蓬勃发展,还利用信息化手段,与中大医院本部实现了PACS系统实时联网,疑难复杂片子可以随时“呼”到上级医生会诊读片。

“以往跟大医院的对口支持,大多是拉郎配,形式大于内容。中大医院开放式医联体合作,让我们见到了实效,心里很踏实。”滨海县人民医院院长吴限说。医学影像与介入医学专家滕皋军教授工作站落户滨海县后,全面带动该院影像中心、介入科发展。2016年,该院仅介入手术就突破100例,其中大多数疾病的介入手术治疗都可以在县人民医院完成。

目前,中大医院48家集团医院都开通了远程会诊、远程教育、远程疑难病例讨论及双向转诊系统。2/3的集团医院建立了远程影像诊断系统,远程病理诊断系统开通医院已占1/6。中大医院还想办法让双向转诊的患者少跑路。医院专门成立了集团办和双向转诊办公室,同时开通转诊绿色通道,建立了电话、微信、转诊单、网络转诊等多途径的转诊平台,有专人为上转患者提供全程服务,同时协调患者在中大医院治疗后的下转问题,实现了集团各医院与中大医院上下转诊无缝对接。

截至目前,中大医院已向48家集团医院派驻院长、业务副院长7人,临床科主任8人,护理部主任4人,建立专科诊疗分中心91个,专家工作站13个,紧密型合作科室49个,松散型合作科室207个。2016年,集团医院上转危急重症住院患者7088人次;今年1月~7月,上转危急重症住院患者6372人次。同时,能在基层医院解决的患者或手术后康复患者,转回所在地集团医院。

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    2017-09-14 139****5926

    好好文章学习了

    0

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    2017-09-14 明崖

    网络可以发挥更多的作用

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1335617, encodeId=dba6133561edb, content=<a href='/topic/show?id=8d7a3525ed0' target=_blank style='color:#2F92EE;'>#医联体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=35257, encryptionId=8d7a3525ed0, topicName=医联体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9de22500104, createdName=1249894fm73暂无昵称, createdTime=Fri Sep 15 10:46:00 CST 2017, time=2017-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1403207, encodeId=fcdd140320e67, content=<a href='/topic/show?id=ebbde6353be' target=_blank style='color:#2F92EE;'>#精准#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76353, encryptionId=ebbde6353be, topicName=精准)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83epQX9hfEIBiaPg0e9KvLYVBCSGYydH6K6OQxBh3RaOC0TYP9HYy2v0XdHib1LFnZNU5Siak0P8oh8Aqw/132, createdBy=acd92440184, createdName=shijzhiewnjhch, createdTime=Fri Sep 15 10:46:00 CST 2017, time=2017-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243845, encodeId=536d24384524, content=好好文章学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K1RUfOKQohib4bXhDtxVgOA9VcKY1LUZkCOmr0v3WupxANz2ibibNHkdevtSruvrhyI29IjXdtvUV48/0, createdBy=6ff82057534, createdName=139****5926, createdTime=Thu Sep 14 09:10:44 CST 2017, time=2017-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243725, encodeId=83cf243e251e, content=网络可以发挥更多的作用, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=73441710184, createdName=明崖, createdTime=Thu Sep 14 00:24:43 CST 2017, time=2017-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243711, encodeId=9627243e1113, content=好资料学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Thu Sep 14 00:13:20 CST 2017, time=2017-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243686, encodeId=4834243686e8, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=00501987275, createdName=130****4638, createdTime=Wed Sep 13 23:38:27 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243624, encodeId=61c82436245a, content=谢谢分享.学习了., beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Wed Sep 13 20:35:03 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243618, encodeId=63202436185a, content=学习了.谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Wed Sep 13 19:55:06 CST 2017, time=2017-09-13, status=1, ipAttribution=)]
    2017-09-14 thlabcde

    好资料学习了!

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1335617, encodeId=dba6133561edb, content=<a href='/topic/show?id=8d7a3525ed0' target=_blank style='color:#2F92EE;'>#医联体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=35257, encryptionId=8d7a3525ed0, topicName=医联体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9de22500104, createdName=1249894fm73暂无昵称, createdTime=Fri Sep 15 10:46:00 CST 2017, time=2017-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1403207, encodeId=fcdd140320e67, content=<a href='/topic/show?id=ebbde6353be' target=_blank style='color:#2F92EE;'>#精准#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76353, encryptionId=ebbde6353be, topicName=精准)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83epQX9hfEIBiaPg0e9KvLYVBCSGYydH6K6OQxBh3RaOC0TYP9HYy2v0XdHib1LFnZNU5Siak0P8oh8Aqw/132, createdBy=acd92440184, createdName=shijzhiewnjhch, createdTime=Fri Sep 15 10:46:00 CST 2017, time=2017-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243845, encodeId=536d24384524, content=好好文章学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K1RUfOKQohib4bXhDtxVgOA9VcKY1LUZkCOmr0v3WupxANz2ibibNHkdevtSruvrhyI29IjXdtvUV48/0, createdBy=6ff82057534, createdName=139****5926, createdTime=Thu Sep 14 09:10:44 CST 2017, time=2017-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243725, encodeId=83cf243e251e, content=网络可以发挥更多的作用, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=73441710184, createdName=明崖, createdTime=Thu Sep 14 00:24:43 CST 2017, time=2017-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243711, encodeId=9627243e1113, content=好资料学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Thu Sep 14 00:13:20 CST 2017, time=2017-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243686, encodeId=4834243686e8, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=00501987275, createdName=130****4638, createdTime=Wed Sep 13 23:38:27 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243624, encodeId=61c82436245a, content=谢谢分享.学习了., beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Wed Sep 13 20:35:03 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243618, encodeId=63202436185a, content=学习了.谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Wed Sep 13 19:55:06 CST 2017, time=2017-09-13, status=1, ipAttribution=)]
    2017-09-13 130****4638

    学习了谢谢分享

    0

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    2017-09-13 1e0f8808m18(暂无匿称)

    谢谢分享.学习了.

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1335617, encodeId=dba6133561edb, content=<a href='/topic/show?id=8d7a3525ed0' target=_blank style='color:#2F92EE;'>#医联体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=35257, encryptionId=8d7a3525ed0, topicName=医联体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9de22500104, createdName=1249894fm73暂无昵称, createdTime=Fri Sep 15 10:46:00 CST 2017, time=2017-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1403207, encodeId=fcdd140320e67, content=<a href='/topic/show?id=ebbde6353be' target=_blank style='color:#2F92EE;'>#精准#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76353, encryptionId=ebbde6353be, topicName=精准)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83epQX9hfEIBiaPg0e9KvLYVBCSGYydH6K6OQxBh3RaOC0TYP9HYy2v0XdHib1LFnZNU5Siak0P8oh8Aqw/132, createdBy=acd92440184, createdName=shijzhiewnjhch, createdTime=Fri Sep 15 10:46:00 CST 2017, time=2017-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243845, encodeId=536d24384524, content=好好文章学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K1RUfOKQohib4bXhDtxVgOA9VcKY1LUZkCOmr0v3WupxANz2ibibNHkdevtSruvrhyI29IjXdtvUV48/0, createdBy=6ff82057534, createdName=139****5926, createdTime=Thu Sep 14 09:10:44 CST 2017, time=2017-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243725, encodeId=83cf243e251e, content=网络可以发挥更多的作用, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=73441710184, createdName=明崖, createdTime=Thu Sep 14 00:24:43 CST 2017, time=2017-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243711, encodeId=9627243e1113, content=好资料学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Thu Sep 14 00:13:20 CST 2017, time=2017-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243686, encodeId=4834243686e8, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=00501987275, createdName=130****4638, createdTime=Wed Sep 13 23:38:27 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243624, encodeId=61c82436245a, content=谢谢分享.学习了., beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Wed Sep 13 20:35:03 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243618, encodeId=63202436185a, content=学习了.谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Wed Sep 13 19:55:06 CST 2017, time=2017-09-13, status=1, ipAttribution=)]
    2017-09-13 changjiu

    学习了.谢谢

    0

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