北京发布2030健康纲要 社会办医迎来黄金时代?

2017-09-24 高嵩 健康点healthpoint

2017年9月21日,北京市政府披露《“健康北京2030”规划纲要》(以下简称:纲要),其中对于多元化社会办医的规划最具特点:第一,要求实现津京冀区域内医疗人才、医疗资源的自由流动,破除限制社会办医的巨大隐性壁垒;第二,在严守城六区床位红线的前提下,逐步把医疗重心向副中心、薄弱专科及基层转移,这其实给社会办医指明了生存方向;第三,指明了社会办医未来的新方向,即专科医疗,第三方医学中心以及康复护理等

2017年9月21日,北京市政府披露《“健康北京2030”规划纲要》(以下简称:纲要),其中对于多元化社会办医的规划最具特点:第一,要求实现津京冀区域内医疗人才、医疗资源的自由流动,破除限制社会办医的巨大隐性壁垒;第二,在严守城六区床位红线的前提下,逐步把医疗重心向副中心、薄弱专科及基层转移,这其实给社会办医指明了生存方向;第三,指明了社会办医未来的新方向,即专科医疗,第三方医学中心以及康复护理等连续性服务。

京津冀三地联动,破除社会办医隐性壁垒

北京作为首都,很长时间单向虹吸了河北省和天津市的医疗资源和医疗人才,很大程度上阻碍了津冀两地的医疗卫生发展。此次纲要要求津京冀三地形成联动机制,实际是让北京反哺天津市和河北省以医疗资源,这其实为医疗人才在津京冀三地流通创造了良好的社会环境,一定程度破除了社会办医在人才流动和医疗资源上面临的阻碍,具体要求如下:

首先,纲要强调要引导在京医疗机构在津冀地区开办分院、合作办医、专科协作以及异地建设区域性医疗中心。三地同时要开展多种形式的医疗技术、管理和学术交流,以期尽快在天津市和河北省培育出特色优势专科。

其次,纲要要求三地要做到5个方面的互联互通:
1. 京津冀三地转诊制度上互通:形成统一就诊预约渠道,建成绿色转诊通道。
2. 医疗卫生信息互通:建成区域互联互通的医疗卫生信息平台,进而探索建立区域医学影像和检查检验中心。
3. 远程医疗互联互通:三地加强合作共建和对口支援,大力发展远程医疗。
4. 医疗保险互联互通:完善基本医疗保险管理措施和医疗保险转移接续信息系统,方便群众就医结算
5. 医疗卫生大数据互联互通:完善推进京津冀省(市)级人口健康信息平台互联互通和医疗卫生大数据共享共用。
在纲要所要求三地互联互通机制下,可以看到津冀两地的医疗资源、医疗人才、医疗信息化水平会逐渐向北京靠近。相比北京严控城六区医疗机构床位规模的冷酷现实,河北省和天津市的办医环境显然更加宽松和友好,可预期的是,河北省和天津市将会出现一批公立办医和社会办医的优秀医疗机构。

市内医疗重心转移,办医红利空间凸显

事实上,医疗资源分布不均,医疗人才过于集中的问题并不局限于津京冀区域之间,这一问题在北京市内也非常突出。纲要的基本思路是严守资源密集区域的“红线”,将重心向薄弱区域转移,顺着这条思路,社会办医在中间是能够发现很多红利的。纲要的具体规划有三条:

1.严控城六区医疗机构床位规模,有序疏解医疗资源;高水平建设北京城市副中心医疗卫生服务体系;加强生态涵养区及新城医疗服务体系建设,推动不同区域医疗卫生服务均衡。
2.支持引导儿科、产科、康复护理、精神卫生等薄弱学科、短板专科,发展康复、护理等连续性医疗服务。
3.健全基层医疗卫生服务网络,打造一刻钟基本医疗卫生服务圈。
由此三条可以看出,北京市内未来的政策会倾向于在区域布局上往北京城市副中心通州区倾斜,在学科布局上向现在供需矛盾比较突出的儿科、妇科等专科以及康复、护理等连续性医疗服务倾斜,在纵向布局上向基层医疗倾斜。因此,社会办医未来的方向非常明确,去到城市副中心办医,去办专科医疗机构,去到基层诊所寻找红利机会。

专科、康养结合、第三方医学中心是创新方向

除去整体布局上存在倾向性,纲要还点出了多元化社会办医未来可能的一些创新发展方向。

首先,纲要申明了对于社会资本进入医疗领域的倾向性,强调支持慈善机构、基金会、企业、投资机构、商业保险机构等社会力量举办非营利性医疗机构,鼓励举办产科、儿科等专科医疗服务机构和社区卫生服务机构。

儿科、产科等专科医疗服务确实面临着很大的医疗资源供应不足的问题。拿儿科举例,根据卫计委的相关统计,我国儿童医院数量偏少,设置儿科床位的医疗机构不足1/3,并且我国现在每千名儿童儿科执业(助理)医师数为0.49人,低于世界主要发达国家水平(0.85~1.3人)。单纯通过公立医院提供服务难以解决供给不足的问题,引入社会办医进入医疗市场也是大势所趋。

其次,纲要强调要引导发展专业的医学检验中心、医学影像中心、消毒供应中心、病理诊断中心和血液透析中心。第三方医学中心近期备受业界关注,众多第三方影像中心、检验中心如雨后春笋一般涌现,纲要对于第三方医学中心的关注无疑也为从业者打了一剂强心针。

最后,纲要将关注点放在了医养结合上面,在医院由做医疗向治未病转化方面做了很多思考和规划。纲要强调要加快建设康复护理服务体系,建立综合医院、康复护理专科医院、基层医疗机构分工合作、有序衔接的多元化康复护理体系。同时鼓励社会力量举办康复护理机构,鼓励社会资本以托管、合作等多种形式参与公立医院整体转型为康复护理机构,探索护理服务社会化的方式。

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    2017-09-26 159****9725

    学习了

    0

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    2017-09-25 戒馋,懒,贪

    谢谢分享

    0

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    2017-09-24 中医痴

    不错的.学习了.谢谢分享!

    0

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    2017-09-24 131****1460

    学习了受益匪浅

    0

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    2017-09-24 lyh994

    众多第三方影像中心.检验中心如雨后春笋一般涌现

    0

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