杭州市江干区实施分级诊疗的做法及体会

Measures and experiences of the implementation of tiered diagnosis and treatment in Jianggan District, Hangzhou

杭州市江干区创建了区域分级诊疗体系。与多所省市级医院合作建立医疗服务联合体,建成"全科医师—联合诊疗中心首席医师—上级医院专家"三级诊疗和健康管理平台。各级医疗机构分工协作,形成基层首诊、分级诊疗、双向转诊的就医格局。在分级诊疗体系创建过程中体会到:贴近居民需求是根本;争取财政支持是基础;强化队伍建设是保障;整合及融合资源是关键。

Jianggan district of Hangzhou has set up a regional tiered diagnosis and treatment system. It has formed a medical service consortium with many municipal and provincial hospitals. A health management platform and a three tiered diagnosis and treatment system featuring ＂general practitioner- chief doctor of united diagnosis and treatment center-medical expert from higher hospitals＂. Each level of medical institutions will coordinate with each other on a work division basis to form a medical structure which features grassroots diagnosis first, tiered diagnosis and treatment and dual referral treatment. During the establishment of tiered diagnosis and treatment system, we have experienced the following points： it is our fundamental to pay attention to resident＇s needs; our base to get fiscal support; out guarantee to strengthen team building and out key focus to integrate and combine resources.