我国二级医院的发展困境与出路

Dilemma and outlet of the development of secondary hospitals in China

二级医院在我国医疗服务体系中发挥承上启下的枢纽作用。然而,当前大型综合性医院仍然在虹吸资源,基层医疗机构迅速发展,民营医疗机构加入医疗市场竞争。在这种情况下,二级医院要生存与发展,就要根据各区域的特点选择相应的政策措施,即偏远、落后的县域二级医院要提高报销比例并强化财政补偿;条件成熟的城市二级医院则应强化医养照护功能或向三级医院升级转型或融入医疗联合体。

Secondary hospitals play a pivotal role and serve as a link in the medical service system in China.However,at present,large general hospitals are still siphoning down resources,primary medical institutions are developing rapidly,and private medical institutions join the medical market competition.In this case,to survive and develop,the secondary hospitals should choose corresponding policies and measures according to the characteristics of each region,such as,the secondary hospitals in remote and backward county should reduce medical expenses,increase reimbursement ratio and strengthen financial compensation,urban secondary hospitals with mature conditions should strengthen the function of medical and nursing care or transform and upgrade to tertiary hospitals or integrate into the medical consortiums.