作　　者： ;

机构地区： 广东省中医院

出　　处： 《中国全科医学》 2018年第27期3378-3380,共3页

摘　　要： 《“健康中国2030”规划纲要》提出了把健康融入所有政策(HiAP)及坚持共建共享、动员全社会参与两大原则。分级诊疗制度的分诊体系、首诊制度和转诊系统三要素,符合以健康为中心和全员参与的健康中国战略。本文以健康中国战略的视野,分析了以全预约服务为起点和公众体验及满意为目标的参与式分级诊疗体系建设,以深圳市公立医院改革试点的样本实践为基础,具体从全预约服务、先全科后专科、团队式专家诊疗模式、急诊五类分级就诊、医患关系和公众满意度管理等方面进行阐述,充分论证了全预约服务能有效推动分级诊疗体系的构建,保证了公众在医改阵痛期的获得感和满意度。 Health in All Policies and Adhering to Co-construction&Sharing with Mobilization of the Whole Society are proposed as two principles in Healthy China 2030 Development Plan.As three essential factors of the hierarchical medical system,hierarchical system,initial diagnosis system and referral system accord with the Health-oriented Full Participation Development Strategy.Based on the Healthy China Strategy,this article analyzes the all-appointment service in the participatory hierarchical medical system that focuses on the public experience and satisfaction.Taking the pilot points in Shenzhen public hospitals as examples,this article elaborates in the aspects of all-appointment service,referral service from the general practice department to the specialized departments,team-based expert diagnose and treatment mode,five categories of emergency treatment,doctor-patient relationship and public satisfaction management.Also this article fully demonstrates that the all-appointment service effectively promotes the construction of hierarchical medical system and ensures the public's sense of fulfillment and satisfaction during the painful period of medical reform.

关 键 词： 患者分级医疗 病人预约和时间安排 全科医学 健康中国

分 类 号： [R473]

领　　域： []