日间医疗的规范化发展思考

Reflection on the standardized development of ambulatory medical care

日间医疗在我国历经了20多年的发展,逐步完善成为24 h内全住院流程诊疗服务的医疗模式。近10年来,在国家相关政策的引导下,日间医疗的发展规模进一步扩大、发展速度进一步提升,为更多患者提供了高效率、低花费的诊疗服务,对公立医院的高质量发展起到了杠杆的作用。但日间医疗的发展也面临着医保政策的支持力度、绩效考核、同质化发展等诸多因素带来的挑战。在推动公立医院高质量发展、改善医疗服务就医体验等新形势和理念下,日间医疗服务模式发挥了更多的医疗价值,但如何推动日间医疗走得稳、走得远,是一个值得探讨的话题。本文旨通过梳理我国日间医疗的发展历程和概况,以期为未来日间医疗的进一步发展提供思路。

Ambulatory medical care has undergone more than 20 years of development in China,gradually improving into a medical model that provides diagnosis and treatment services throughout the 24-hour hospitalization process.In the past decade,under the guidance of relevant national policies,the development scale and speed of ambulatory medical care have further expanded,providing more patients with efficient and low-cost diagnostic and treatment services,and playing a leverage role in the high-quality development of public hospitals.However,the development of ambulatory medical care is also facing challenges brought about by various factors such as the support of medical insurance policies,performance evaluation,and homogeneous development.Under the new situation and concepts of promoting the high-quality development of public hospitals and improving the medical service experience,the ambulatory medical service model has played a greater role in medical value.However,how to promote the stable and long-term development of ambulatory medical care is a valuable topic for discussion.The article aims to provide ideas for the further development of ambulatory medical care in the future by reviewing the development process and overview of ambulatory medical care in China.