上海市精神专科医院开展医联体建设的探讨
政策建议,资源整合
谢飞 谢斌[摘要] 根据医改政策要求,我国各地医疗机构纷纷组建医联体,并取得了阶段性成效,但需要解决的问题仍然很多,不少“试水破冰”的医联体呈现出一种“联而不合”状态,不仅影响了医联体诸多功能充分发挥,也影響到分级诊疗体系格局形成。上海市精神卫生管理和服务中存在政府投入不足、专科医院之间各自为政、协调不力以及资源配置不合理等诸多问题,开展精神专科医联体建设是解决这些问题有效途径之一,且具有现实意义。建议在医联体建设中,政府发挥主导和统筹作用,负责顶层设计与组织协调,明确公平性、可及性、分级医疗以及大型公立医院主导的四项基本原则,根据不同需求给予不同配套措施和政策支持,增加对医联体建设的投入,使精神专科医联体最终回归于分级诊疗政策制订的初衷,从而实现有效缓解群众“看病难、看病贵”新医改目标。
[关键词] 精神专科医院;医疗联合体;资源整合;政策建议
[中图分类号] R197 [文献标识码] A [文章编号] 1673-7210(2018)02(a)-0151-05
The exploration for development of medical alliance in psychiatric hospitals in Shanghai
XIE Fei XIE Bin
Department of Administration Office, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
[Abstract] According to medical reform policy requirements, medical alliances in China were established one after another in health institutions and achieved the initial success. But there are still many problems to be solved, a number of "test water breaking" medical couplet presents a state of "incompatibility", which led to the alliances could not play the functions completely ......
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