传染病专科医院服务结构的变迁与展望

The service structure transformation and prospect of the hospitals of infectious diseases

近年来，国内不少传染病专科医院在卫生改革不断深化、疾病谱发生变化的情况下，以社会需求为导向，对原有的服务结构进行了调整，为满足传染病患者的特殊医疗需求扩大了业务范围，提高了医疗水平，取得了良好的社会效益和经济效益，医院建设也有了较快的发展。今后，其服务结构的变化将会从迫于经营的压力转向主动满足社会需求；从旧的传染病谱转向新的传染病谱；从单纯扩展业务转向加强内涵建设提高医疗水平。在调整服务结构时，应注意从实际出发，反复论证；加强新建科室的管理，结合传染病的特点开展新业务，充分发挥新建科室的作用；做好人才的培养、引进工作；处理好专科与综合的关系，把提高医疗水平、提高社会效益放在首位。

Under the circumstances of ever deepening health reforms and changing disease reports, a restructuring of the old medical services addressed to social need has been carried out by quite a few special hospitals of infectious diseases in recent years. To satisfy the special demand of the infectious disease patients, the service scope has been expanded, the medical level raised, good social benefit and reasonable profit gained, and faster expansion of hospital size accomplished. From now on, the transformation of the service structure will be prompted not only by the pressure of hospital management but mainly by the necessity of answering social call; not simply by the demand for service expansion to deal with new crops of infectious diseases but mainly by the need of intensifying hospital construction and upgrading the medical level. In the course of restructuring, attention should be paid to the practical condition under which new steps are to be taken, to intensive policy discussions, to strengthening the administration and role of newly organized departments, to the development of new service items in reference to the characteristics of infectious diseases, to the training and recruitment of medical specialists, to the correct handling of the relationships between special and general medical treatment, to and placing the upgrading of medical level and social benefit on the leading position.