西部地区区域医疗协同服务实践与思考

Practice and Thinking about Regional Medical Collaborative Service in Western Region of China

本文以四川大学华西医院区域协同医疗服务实践为例,在介绍华西医院区域医疗协同服务的概况和体系的基础上,分析了我国西部地区区域医疗实践中存在的一些问题,如区域协同医疗的推进缺乏动力,区域协同医疗政策严重滞后,缺乏分层级配置的检验检查质量标准,缺乏规范的医疗信息系统平台建设标准等。本文提出了促进西部地区区域医疗协同的关键点:强化区域协同医疗中的政府主导性、建立适应区域协同医疗的医保体系和区域性检验中心。

This article takes the regional cooperative medical service practice provided by the West China Hospital of Sichuan University as example, analyzes several problems with regional medical service practice in western region based on the introduction of the general situation and system of regional cooperative medical service provided by the West Chi- na Hospital. The problems are： lack of motivation to promote regional collaborative medical care, serious lag of policies, and lack of stratified configuration of tests/exams quality standards and construction standards of medical information system platform. This article puts forward the key point to promote western regional medical collaboration： strengthening government dominance, and establishing suitable medical insurance system and regional laboratory examination centre.