定远推行“一体化”医疗服务化解乡村“看病难”

2019-11-05 佚名 人民网

为解决农村群众“看病难”,今年以来,安徽定远县以推进城乡“一体化”医疗预防服务体系建设为抓手,统筹县、乡、村三级医疗卫生资源,将最先进的诊疗技术、最优秀的技术骨干送到农民家门口,确保农村群众“大病不出县,小病不出乡”。针对患者集聚县城医院就医难,而乡村医疗单位无病人的现状,该县从优化医疗资源配置、提升乡村诊疗技术入手,启动了紧密型县域医共体建设,以县总医院为核心,进一步完善县域医疗服务网络,将全县

为解决农村群众“看病难”,今年以来,安徽定远县以推进城乡“一体化”医疗预防服务体系建设为抓手,统筹县、乡、村三级医疗卫生资源,将最先进的诊疗技术、最优秀的技术骨干送到农民家门口,确保农村群众“大病不出县,小病不出乡”。

针对患者集聚县城医院就医难,而乡村医疗单位无病人的现状,该县从优化医疗资源配置、提升乡村诊疗技术入手,启动了紧密型县域医共体建设,以县总医院为核心,进一步完善县域医疗服务网络,将全县所有乡镇卫生院和村卫生室集中纳入县总医院一体化管理,并以中心集镇医疗机构为支撑、以村级卫生室为支点,对乡镇卫生院进行整合,重点加强炉桥、吴圩、永康、定城、池河、藕塘、张桥等中心集镇卫生院建设,构建“中心卫生院管理圈”,形成县域医疗次中心,将医疗服务延伸到每个社区、村组。

在运营机制上,该县打破乡村医疗单位“各自为阵、分灶吃饭”运维模式,按照“统一力量调配、统一服务标准、统一基础管理、统一绩效考核”原则,打破原有人员管理体制和隶属关系,将乡镇、村基层医疗机构的财务、人员、绩效、医疗业务、公共卫生服务、药械采购、医保基金、信息系统等全部纳入县总医院统一管理,其中乡镇卫生院公益一类属性不变,现有人员编制性质、财政供给保障不变,乡村医护人员绩效考核与县总医院干部职工一样“优绩优酬、多劳多得”,调动了基层医护人员积极性。同时,该县还从财政上对各基层医疗单位给予定项补助。

为提升乡村医疗单位服务质量和安全管理实效,该县发挥县总医院牵头带动作用,在医疗、护理、检查检验、院内感染、公共卫生服务等业务上,对照县总医院标准,统一技术规范、统一人员培训、统一业务指导、统一工作考核、统一质量指标,由县总医院统一监管,并建立全县统一的转诊病种目录,加强公共卫生和转诊质量把控。在药械采购和药事管理等方面,统一采购、集中配送。同时,该县还全面推行家庭医生签约服务,引导县、乡、村医护人员与农村群众“结对子”,一对一提供诊疗健康服务。该县总医院还定期选派业务骨干到各基层医疗单位进行定点帮扶,帮助基层医疗单位提升诊疗水平。

目前,该县县、乡、村一体化医疗服务体系已初步形成,县域内就诊(住院)率达90%左右,乡村基层医疗机构患者诊疗数占全县总诊疗数60%以上,基本实现“大病不出县,小病不出乡”。

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2007353, encodeId=c6ab200e353f1, content=<a href='/topic/show?id=8c951930466' target=_blank style='color:#2F92EE;'>#一体化#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19304, encryptionId=8c951930466, topicName=一体化)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d7532500500, createdName=12499e01m47暂无昵称, createdTime=Thu Jul 23 00:30:00 CST 2020, time=2020-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1664679, encodeId=985f16646e9d8, content=<a href='/topic/show?id=faf9e2628ff' target=_blank style='color:#2F92EE;'>#看病难#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72628, encryptionId=faf9e2628ff, topicName=看病难)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dfbb25811672, createdName=12498ca5m91暂无昵称, createdTime=Fri Jan 10 10:30:00 CST 2020, time=2020-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1303640, encodeId=e2b81303640f0, content=<a href='/topic/show?id=90fa35013c4' target=_blank style='color:#2F92EE;'>#医疗服务#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=35013, encryptionId=90fa35013c4, topicName=医疗服务)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=da20314, createdName=lfcmxl, createdTime=Thu Nov 07 14:30:00 CST 2019, time=2019-11-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374848, encodeId=74753e4848a2, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Wed Nov 06 07:04:00 CST 2019, time=2019-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374843, encodeId=57ff3e4843df, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6d551998554, createdName=1e1c07bdm01(暂无匿称), createdTime=Wed Nov 06 06:46:20 CST 2019, time=2019-11-06, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=2007353, encodeId=c6ab200e353f1, content=<a href='/topic/show?id=8c951930466' target=_blank style='color:#2F92EE;'>#一体化#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19304, encryptionId=8c951930466, topicName=一体化)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d7532500500, createdName=12499e01m47暂无昵称, createdTime=Thu Jul 23 00:30:00 CST 2020, time=2020-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1664679, encodeId=985f16646e9d8, content=<a href='/topic/show?id=faf9e2628ff' target=_blank style='color:#2F92EE;'>#看病难#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72628, encryptionId=faf9e2628ff, topicName=看病难)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dfbb25811672, createdName=12498ca5m91暂无昵称, createdTime=Fri Jan 10 10:30:00 CST 2020, time=2020-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1303640, encodeId=e2b81303640f0, content=<a href='/topic/show?id=90fa35013c4' target=_blank style='color:#2F92EE;'>#医疗服务#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=35013, encryptionId=90fa35013c4, topicName=医疗服务)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=da20314, createdName=lfcmxl, createdTime=Thu Nov 07 14:30:00 CST 2019, time=2019-11-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374848, encodeId=74753e4848a2, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Wed Nov 06 07:04:00 CST 2019, time=2019-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374843, encodeId=57ff3e4843df, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6d551998554, createdName=1e1c07bdm01(暂无匿称), createdTime=Wed Nov 06 06:46:20 CST 2019, time=2019-11-06, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=2007353, encodeId=c6ab200e353f1, content=<a href='/topic/show?id=8c951930466' target=_blank style='color:#2F92EE;'>#一体化#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19304, encryptionId=8c951930466, topicName=一体化)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d7532500500, createdName=12499e01m47暂无昵称, createdTime=Thu Jul 23 00:30:00 CST 2020, time=2020-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1664679, encodeId=985f16646e9d8, content=<a href='/topic/show?id=faf9e2628ff' target=_blank style='color:#2F92EE;'>#看病难#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72628, encryptionId=faf9e2628ff, topicName=看病难)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dfbb25811672, createdName=12498ca5m91暂无昵称, createdTime=Fri Jan 10 10:30:00 CST 2020, time=2020-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1303640, encodeId=e2b81303640f0, content=<a href='/topic/show?id=90fa35013c4' target=_blank style='color:#2F92EE;'>#医疗服务#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=35013, encryptionId=90fa35013c4, topicName=医疗服务)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=da20314, createdName=lfcmxl, createdTime=Thu Nov 07 14:30:00 CST 2019, time=2019-11-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374848, encodeId=74753e4848a2, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Wed Nov 06 07:04:00 CST 2019, time=2019-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374843, encodeId=57ff3e4843df, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6d551998554, createdName=1e1c07bdm01(暂无匿称), createdTime=Wed Nov 06 06:46:20 CST 2019, time=2019-11-06, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=2007353, encodeId=c6ab200e353f1, content=<a href='/topic/show?id=8c951930466' target=_blank style='color:#2F92EE;'>#一体化#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19304, encryptionId=8c951930466, topicName=一体化)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d7532500500, createdName=12499e01m47暂无昵称, createdTime=Thu Jul 23 00:30:00 CST 2020, time=2020-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1664679, encodeId=985f16646e9d8, content=<a href='/topic/show?id=faf9e2628ff' target=_blank style='color:#2F92EE;'>#看病难#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72628, encryptionId=faf9e2628ff, topicName=看病难)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dfbb25811672, createdName=12498ca5m91暂无昵称, createdTime=Fri Jan 10 10:30:00 CST 2020, time=2020-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1303640, encodeId=e2b81303640f0, content=<a href='/topic/show?id=90fa35013c4' target=_blank style='color:#2F92EE;'>#医疗服务#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=35013, encryptionId=90fa35013c4, topicName=医疗服务)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=da20314, createdName=lfcmxl, createdTime=Thu Nov 07 14:30:00 CST 2019, time=2019-11-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374848, encodeId=74753e4848a2, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Wed Nov 06 07:04:00 CST 2019, time=2019-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374843, encodeId=57ff3e4843df, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6d551998554, createdName=1e1c07bdm01(暂无匿称), createdTime=Wed Nov 06 06:46:20 CST 2019, time=2019-11-06, status=1, ipAttribution=)]
    2019-11-06 飛歌

    学习了很有用不错

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=2007353, encodeId=c6ab200e353f1, content=<a href='/topic/show?id=8c951930466' target=_blank style='color:#2F92EE;'>#一体化#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19304, encryptionId=8c951930466, topicName=一体化)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d7532500500, createdName=12499e01m47暂无昵称, createdTime=Thu Jul 23 00:30:00 CST 2020, time=2020-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1664679, encodeId=985f16646e9d8, content=<a href='/topic/show?id=faf9e2628ff' target=_blank style='color:#2F92EE;'>#看病难#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72628, encryptionId=faf9e2628ff, topicName=看病难)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dfbb25811672, createdName=12498ca5m91暂无昵称, createdTime=Fri Jan 10 10:30:00 CST 2020, time=2020-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1303640, encodeId=e2b81303640f0, content=<a href='/topic/show?id=90fa35013c4' target=_blank style='color:#2F92EE;'>#医疗服务#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=35013, encryptionId=90fa35013c4, topicName=医疗服务)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=da20314, createdName=lfcmxl, createdTime=Thu Nov 07 14:30:00 CST 2019, time=2019-11-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374848, encodeId=74753e4848a2, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Wed Nov 06 07:04:00 CST 2019, time=2019-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374843, encodeId=57ff3e4843df, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6d551998554, createdName=1e1c07bdm01(暂无匿称), createdTime=Wed Nov 06 06:46:20 CST 2019, time=2019-11-06, status=1, ipAttribution=)]

相关资讯

IDTechEx研究显示:可穿戴设备的未来是医疗

可穿戴技术与医疗设备有许多显着的协同作用。电子设备妥善放置在身上,传感器可以收集与医疗相关的数据,通信选项使其成为数字健康数据的网关。可穿戴设备内的常见传感器选项包括运动选项(例如用于跌倒检测或活动识别)、心率监测(用于各种心脏测量),以及其他不太常见的选项,例如测体温、检测特定的化学分析物或评估对特定刺激的生理反应。可穿戴设备也可以在反馈回路的另一半发挥作用;无论是将胰岛素输送给1型糖尿病患者,

如何实现医疗服务国际化?这些医院都是这么做的

在国家一系列政策的发布和高净值人群的增长下,不论是患者医疗需求还是医疗服务的供给,都在悄然发生变化——国际化趋势日益明显。那么,问题来了,国内各大医疗机构如何做到医疗服务国际化?国外医院在中国又如何本地化他们的医疗服务?在10月12-13日由北京大学国际医院、北大医疗产业集团有限公司、健康界共同主办的第四届中国社会办医与医院管理高峰论坛·春风关不住:医疗服务国际化分论坛上,诸多行业大咖不仅带来

可穿戴设备的未来是医疗

可穿戴技术与医疗设备有许多显着的协同作用。电子设备妥善放置在身上,传感器可以收集与医疗相关的数据,通信选项使其成为数字健康数据的网关。可穿戴设备内的常见传感器选项包括运动选项(例如用于跌倒检测或活动识别)、心率监测(用于各种心脏测量),以及其他不太常见的选项,例如测体温、检测特定的化学分析物或评估对特定刺激的生理反应。可穿戴设备也可以在反馈回路的另一半发挥作用;无论是将胰岛素输送给1型糖尿病患者,

“驯服猛兽”——AI已与医疗深度融合

大规模的技术投资和政府的推进力度使医疗领域将受到重大影响,其中,智能算法和智能机器人系统作用突出。

布局建设20个左右试验区 推动医疗等与人工智能融合发展

指引提出,在制造、农业农村、物流、金融、商务、家居、医疗、教育、政务、交通、环保、安防、城市管理、助残养老、家政服务等领域开展人工智能技术应用示范,拓展应用场景,加快推进人工智能与实体经济深度融合。到2023年,布局建设20个左右试验区,创新一批切实有效的政策工具,形成一批人工智能与经济社会发展深度融合的典型模式,积累一批可复制可推广的经验做法,打造一批具有重大引领带动作用的人工智能创新高地。

孙春兰:推动医疗等社会事业 更好服务粤港澳大湾区建设

中共中央政治局委员、国务院副总理孙春兰10日至12日在广东调研。她强调,要深入贯彻习近平总书记关于发展粤港澳大湾区的重要指示精神,认真落实《粤港澳大湾区发展规划纲要》,深化教育、卫生健康、文化旅游、体育等领域改革和开放合作,增加优质公共产品和服务供给,为推进粤港澳大湾区发展提供支撑和保障。中共中央政治局委员、广东省委书记李希出席有关活动。孙春兰先后到广州、佛山、深圳,实地考察中山大学国家超级计算广