基于紧密型医联体建设的区级医院重症医学科“一科两院”模式实践探索

Practice of the"one department in two hospitals"mode in a department of critical care medicine of a district hospital in the context of compact medical alliance construction

以紧密型医联体建设为抓手,通过加强急危重症诊治水平和提升服务能力,把区级医院打造成区域医疗中心,解决群众的就近就医需求,是上海市完善分级诊疗制度的重要内容。2021年9月,上海市第十人民医院崇明分院在“区办市管”托管模式的基础上,选取一度面临关停的重症医学科作为“一科两院”学科共建模式试点科室,探索以医联体内部优质资源下沉共享、区级医院专科人才队伍培养为主的薄弱专科建设机制。经过2年的试点,崇明分院重症医学科在医疗服务能力、专科人才培养、合作平台建设、区域辐射效能等方面取得显著成效,并总结出了基于紧密型医联体建设的薄弱专科建设新路径。

Taking the compact medical alliance construction as the starting point,Shanghai municipal government is committed to enhance its hierarchical diagnosis and treatment system by raising the capacity of diagnosing and treating emergent and critical cases,building district hospitals into regional medical centers,thus satisfying the medical needs of the general public.In September 2021,the Chongming Branch of Shanghai Tenth People's Hospital,based on the"District Government Owned-Municipal Hospital Managed"trusteeship mode,selected the Department of Critical Care Medicine,which was once facing closure,as the pilot department for the co-construction of"one department in two hospitals".Accordingly,capacity-building efforts including the sharing of high-quality medical resources within the medical alliance and the training of professional teams were offered for the previously weak department.After two years of pilot work,the Department of Critical Care Medicine at Chongming Branch has made remarkable achievements in service capacity,processional training,cooperative platform construction,and regional outreach,which may offer a new pathway for the upgrade of weak departments within the framework of compact medical alliance construction.