优质医疗资源下沉工作实践与问题探讨

Work Practice and Problem Discussion on Transferring High Quality Medical Resources to Grass-roots Medical Institutions

目的回顾浙江省优质医疗资源下沉一年的成效和不足，探讨推进方法。方法由省市三级医院定期派遣管理技术团队并担任县级医院的行政职务，从医院管理、医疗质量、医疗技术等进行半年至一年的连续扶持，结合医疗网络服务平台构建、信息化建设等给予全方位的帮扶指导。结果优质医疗资源下沉工作一年，取得了显著的经济和社会效益，但也出现了财物下沉困难、被托管医院的被动性、职工对利益的担心、医疗资源配置新的不平衡等问题。结论优质医疗资源下沉是城乡医院对口支援工作的大胆创新和有益尝试，为进一步推进下沉工作，必须深化医改，加快推进公立医院综合改革。

Objective To review the achievements and shortcomings of transferring high quality medical resources to grass-roots medical institutions for one year in Zhejiang Province and explore promotion methods.Methods Management and technical team from tertiary hospitals at the provincial and municipal level was regularly dispatched to county hospitals to execute administrative duties and provided support in terms of hospital management, medical quality, medical technology for six months or one year, which gives an all-round guidance by combining medical network service platform construction and information construction etc..Results Transferring high quality medical resources to grass-roots medical institutions has achieved remarkable economic and social benefits after one year＆#39;s practice, but it also appeared some problems like difficulty in transferring funds and materials, passive attitude of mandated hospitals, employees＆#39; worry about interests and medical resource allocation imbalance etc..Conclusion Transferring high quality medical resources to grass-roots medical institutions is a bold innovation and the beneficial attempt for targeted aid work between urban and rural hospitals. To further promote the work, we must deepen the health care reform and accelerate the comprehensive reform of public hospitals.