构建人类辅助生殖技术医联体助力分级诊疗实施

Building medical treatment alliance of human assisted reproductive technology support the accomplishment of hierarchical diagnosis and treatment system

目前我国人类辅助生殖技术医疗资源分布呈"倒金字塔"配置,导致"看病难、看病贵",为此,本文通过云南省第一人民医院人类辅助生殖技术医联体模式的实践,探讨基于医联体助力分级诊疗服务体系实施的对策与建议。首先,成立专家团队工作站医联体联盟;其次,建立区域医疗卫生信息共享网络;最后,以"基层首诊,双向转诊,急慢分治,上下联动"为核心构建分级诊疗服务体系。本研究通过实证分析,证明该模式能有效促进医疗资源下沉,优化医疗资源的合理配置,能大大减轻患者的经济负担(误工费、差旅费等),大大减少患者就诊的时间成本(路途来回奔波、预处理和前期治疗时间等),使患者享受转诊前后医疗服务的连续性和便捷性,有效缓解了"看病难、看病贵"的问题,同时也增加了当地医疗机构的收入,取得了良好的社会效益。

The present resource distribution of human assisted reproductive technology(ART)is"inverted pyramid",so that it leads to the difficulty and expense of medical service.Therefore,through the practice of building medical treatment alliance of human ART in the First People’s Hospital of Yunnan Province,we discuss the strategy and proposal of how to support the accomplishment of hierarchical diagnosis and treatment system based on the medical treatment alliance of human ART.Firstly,medical treatment alliance of the expert team workstation should be established.Secondly,the regional health information sharing network is built.Lastly,the hierarchical diagnosis and treatment system will be built with the perception of"first diagnosis in substratum,dual referral,treat based on urgency or less urgency,upper and lower linkage".Through empirical analysis,edical treatment alliance can promote the sink of medical resources,optimize the rational allocation of medical resources,greatly reduce the economic burden of patients(charge for loss of working time,travel expense),greatly reduces patients’time costs(go back and forth,pretreatment,prophase treatment),so that patients enjoy the continuity and convenience of medical services before and after referral,effectively relieve the difficulty and expense of medical service.It also increases the income of local medical institutions and achieves good social benefits.