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上海市二级以上医院儿科门诊年内全恢复

转载来源:上海市政府网站 发布日期:2017年03月30日 婴童护理

3月29日下午召开的市政府新闻发布会上,市卫计委主任邬惊雷透露:申城儿科就诊下沉、专科优势集聚的效应已初显。年内各级医疗机构将进一步挖潜扩能,扩大儿科服务供给,实现全市新增儿科床位400张。年底前,所有二级以上综合医院全部恢复儿科门诊服务。

据介绍,目前,全市提供儿科诊疗服务的医疗机构共有179家,设置儿科床位的医疗机构有68家,提供儿科门诊服务的医疗机构有141家,提供急诊服务的有76家,总床位数4000张,儿科执业(助理)医师3200余人。与此同时,全市建立6家危重新生儿会诊抢救中心,与16个区实行分片对接,形成“覆盖全市、及时响应、有效救治”的安全保障网络,确?;级玫郊笆庇辛Φ木戎?。

同时,申城不断探索儿科诊疗服务能级提升,在全国率先出台国内首部省级儿童健康服务能力专项规划,同时创新儿科医疗运行模式,构建东南西北中五大区域儿科联合团队,促进优质资源纵向延伸,提高儿科服务同质化水平,有效缓解患儿看病难题。据统计,本市5家儿童专科医院和儿科优势医院全年门急诊量增幅由2015年的7.3%下降到2016年的1.0%,全年出院人次数增幅由2015年的9.4%上升到2016年的11.3%。

应对百姓需求,进一步缓解患儿看病难题,市卫计委还将“找差距、补短板”。据介绍,今年医疗机构将持续挖潜扩能,继续扩大儿科服务供给。三级综合医院、承担区域医疗中心任务的二级综合医院按标准设立或恢复设立儿科床位,床位数原则上为医院核定床位的5%,最低不少于30张。今年,全市将实现新增儿科床位400张,“十三五”期间将新增1900张。年底前,二级以上综合医院全部恢复儿科门诊服务,三级综合医院和承担区域医疗中心任务的二级综合医院提供儿科门急诊服务,同时引导和鼓励有资质的社会医疗机构提供儿科诊疗服务。

为有效应对季节性高峰医疗需求,市卫计委今年还将启动20个综合医院标准化示范儿科门急诊项目建设,优化儿科门急诊服务流程,为区域内儿童提供儿科常见病、多发病的同质化服务;同时加快完善儿科联合团队内部管理、双向转诊、培训、人才柔性流动、信息化等制度建设,将儿童常见病诊治逐步下沉到基层。

上海卫计委主任:鼓励民资办儿科医院

“据统计,上海市5家儿童专科医院和儿科优势医院全年门急诊量增幅由2015年的7.3%下降到2016年的1.0%,全年出院人次数增幅由2015年的9.4%上升到2016年的11.3%?!?月29日,在“上海市儿科建设推进情况”新闻发布会上,上海市卫计委主任邬惊雷表示,上海的儿科就诊下沉和专科优势集聚的效应已经初步显现。

近年来,上海市积极克服全面两孩带来的生育需求释放、出生人口增加、高龄孕产妇妊娠结局风险上升等压力和挑战,努力提升儿童健康服务质量和水平。

2016年底《上海市儿童健康服务能力建设专项规划(2016-2020年)》正式出台,这是国内首部省级儿童健康服务能力专项规划。

目前,上海市构建了较为完善的儿科服务体系,提供儿科诊疗服务的医疗机构共有179家。其中,16家市级综合医院和52家区级综合医院均提供儿科诊疗服务,而社区卫生服务中心则普遍开展儿童保健和预防接种服务,部分社区卫生服务中心还提供儿科常见病治疗、康复服务。

“提升社区卫生服务中心全科医生儿科服务能力是强基层的重点,如果普通的疾病能够在基层解决的话,儿科服务就会方便很多?!壁妆硎?,提升社区全科医生儿科服务能力,这可能是一个缓慢的过程,但目前在几大龙头儿科专科医院的培养下正在慢慢恢复。比如,闵行一共有13个社区卫生服务中心,现在正逐步让每个社区1-2名的全科医生偏重于以儿科为服务重点;在位于浦东的上海儿童医学中心的指导下,社区全科医生的常见病治疗能力也在增强。

目前,上海的儿科医疗运行模式也在不断创新。在上海市儿童医院、复旦大学附属儿科医院积极探索的基础上,上海依托三级儿童专科医院和儿科优势医院,构建东南西北中五大区域儿科联合团队,促进优质资源纵向延伸,提高儿科服务同质化水平。比如,儿科医院17家综合性医院和62家社区卫生服务中心签约;上海交大医学院附属儿童医学中心联合54家成员单位推行常见病分流下沉。

上?;菇⒘?家危重新生儿会诊抢救中心,与16个区实行分片对接,形成“覆盖全市、及时响应、有效救治”的安全保障网络。2016年上海地区婴儿死亡率3.76‰,连续十多年保持世界发达国家和地区水平。

对于儿科方面的民资办医,上海给予鼓励和支持的态度。邬惊雷表示,“上海一直在鼓励民资办医,如和睦家、美华、艾儿贝佳等。在床位的增量方面,也给民营医疗机构提供一定的空间,尤其是儿科?!?/p>

对于如何规范一些民资医疗机构有可能会存在的医生资质和过度检查问题,邬惊雷对第一财经记者表示,上海民资医疗机构现在越来越注重它的声誉以及服务质量和服务安全,这是大的趋势?!按诱喙懿棵爬此?,医师的资格和医师注册的规范,这是我们日常监管的重点。对于医生的注册问题,现在慢慢在推电子注册,监管上就会非常地实时?!?/p>

“对于过度检查问题,我们现在主要通过比较规范的疾病诊疗指南来规范,通过质量控制检查予以督促落实,目前我们已把民资所有医疗机构纳入上海市儿科质量控制体系。接下来,我们计划通过信息化系统让民资机构的病人信息纳入到全行业的实时监管当中?!壁姿?。

在儿科医学人才的培养上,近年来上海也加大了力度。2012年,上海交大医学院恢复临床医学(儿科方向)招生,2016年复旦大学新开设临床医学(儿科方向),在校生共236人。目前,儿科住院医师规范化培训、专科医师规培已分别招录923人和322人。通过“儿科强基层”继续医学教育项目和全科医生儿科能力专项培训,不断提升社区全科医生儿科服务能力。

在儿童健康服务资源配置方面,近年来上海市新增近1000张儿科床位,其中,“十二五”期间上海市增加了579张儿科床位,2016年又新增400张儿科床位。

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糖果店的田妮妮

  • (游客) 2天前

回复主题:江苏丰县发绝笔求助信的李秀娟夫妇平安找到!正协助调查!信中自述带失明女儿北上看病遭徐州副所长暴打!

阿姨,你要是能看到这段话,希望你能回来,孩子现在已经很恐惧了,只有父亲和母亲给她们的爱才能让他们渐渐平静,大家肯定会帮助你的,我们主席他不会容忍这样的事情!要相信世界还是正能量大于那些负能量!坏人总是会被抓的!坏人抓不完,所以好人一定要好好活着!阿姨,等你好消息。

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