基于分级诊疗的协作医疗试点探索

Exploration on integrated health services pilot based on hierarchical diagnosis treatment

协作医疗服务模式是建立分级诊疗的重要基础,是实现患者有序就医、优化医疗资源配置的重要抓手。为更好地探索分级诊疗模式,2014年,国家卫生计生委卫生发展研究中心选择江苏省东海县作为试点,结合东海县实际,创新性地提出了适宜东海县的协作医疗服务模式。经过一年多的试点,取得了良好的成效,县乡病人得到合理分流,患者平均住院费用明显下降,分工协作、双向转诊机制初步建立。

Integrated health services model is an important foundation of establishing hierarchical diagnosis treatment Meanwhile, it is a signif- icant method of realizing patients to seek medical service orderly and optimizing medical resources allocation. In order to better explore integrated health services model, China National Health Development Research Center selected Donghai county, Jiangsu province as a pilot in 2014. Combining with the county＇s actual conditions, the center had creatively put forward integrated health services model which was suited to Donghai county. After more than one year＇s pilot, it have gained a remarkable effect, due to which the patients of county and township had been distributed reasonably and the hospitalization expenses on average have declined orderly. The mechanisms of collaboration and dual referral system have been established initially.