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中央关注"家庭医生模式":医疗资源将覆盖更多群体

2016-04-25 来源:人民网-健康卫生频道     编辑:襄阳

  中共中央总书记、国家主席、中央军委主席、中央全面深化改革领导小组组长习近平4月18日上午主持召开中央全面深化改革领导小组第二十三次会议并发表重要讲话.他强调,改革既要往有利于增添发展新动力方向前进,也要往有利于维护社会公平正义方向前进.


  顶层设计:鼓励家庭医生签约


  本次会议强调,推进家庭医生签约服务,对促进医疗卫生工作重心下移、资源下沉,实现人人享有基本医疗卫生服务的目标具有积极意义.要重点在签约服务方式、内容、收付费、考核、激励机制、技术支撑等方面实现突破,优先覆盖老年人、慢性病患者、结核病等慢性传染病患者、严重精神障碍患者、孕产妇、儿童、残疾人等重点人群.对家庭医生要有职业保障措施.


  政策扶持:相关部门出台指导意见


  关于推进家庭医生服务模式,此前国家卫生计生委、国家中医药管理局曾提出,到2020年,各地要力争实现让每个家庭拥有一名合格的签约医生,每个居民有一份电子化的健康档案.


  国家卫生计生委、国家中医药管理局在《关于进一步规范社区卫生服务管理和提升服务质量的指导意见》中要求各地规范社区卫生服务机构设置与管理、加强社区基本医疗和公共卫生服务能力建设、加强社区卫生服务保障与监督管理等.到2020年,各地要力争实现让每个家庭拥有一名合格的签约医生,每个居民有一份电子化的健康档案.


  基层落地:部分区域试点运行


  目前,在一些区域,已经初步实现了"家庭医生"概念.以北京市朝阳区为例,该区将有望实现"专全结合"分级诊疗模式全覆盖,为辖区慢病患者提供一对一家庭医生式服务签约.


  据了解,去年底,朝阳医院医联体正式组建"专全"慢病管理团队,进一步推进分级诊疗工作.在朝阳医院医联体内,建立了二、三级医院与社区卫生服务机构之间、专科医生与全科医生之间畅通的双向转诊通道,实现定向精确转诊,引导慢病患者回归社区.


  患者在与团队的全科医生签约后,将获知医生的电话,可随时与医生联系,每次就诊时,也将被自动分配给责任医生,医生会根据连续性观察其病情的结果,给予恰当的治疗.此外,团队的专科医生也会定期在社区卫生服务中心设立的专病门诊出诊,已与本团队签约的和发生特殊专病问题的患者可在社区接受专业的诊疗服务.


  2016年年底,参与试点的医联体内二、三级医院和社区卫生服务中心,将全面开展以慢病为切入点的专全团队共同协作的工作模式,经过评估后形成的经验以及固化的模式,有望于2017年在朝阳区域内全面推广.


  专家解读:家庭医生是国际通用制度


  "小病在社区、大病在大医院、康复再回社区",这是上海新一轮社区卫生服务综合改革的方向.上海市自2011年起启动家庭医生制度,截至2015年底,共签约常住居民1027.3万人,签约率达44%.


  上海市医改办副主任许速介绍,家庭医生是国际上通用的一种制度,老百姓看病首先去找家庭医生,通过其进行分诊和初步治疗."从目前的供需状态来说,家庭医生制度既满足了老百姓庞大的医疗、健康需求,又合理地利用了紧缺的医疗资源."


  许速表示,家庭医生制度是社区卫生服务综合改革的重要组成部分.社区卫生服务中心平台还将发挥整合社会资源的功能,把社会上的健康管理机构、先进的穿戴设备、符合条件的个体家庭医生等吸纳到这个平台上,更好地为居民服务.(马晓慧综合)

(<中央关注"家庭医生模式":医疗资源将覆盖更多群体>来源人民网-健康卫生频道,版权归原作者或人民网-健康卫生频道所有,转载请注明原文来源出处,本文链接:http://www.meidaoyipin.com/jiankang/yiliao/201615030.html)

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