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精神专科医院改革:搭建管理体系 成立专科医联体

2017-04-08 佚名 环球网

4月8日北京市医改正式启动。在公立医院改革的状况下,精神专科医院改革的方向是什么?北京安定医院王刚院长在国家卫生计生委4月7日举行的新闻发布会上表示:北京市医改,主要是三医联动的医改,涉及到医药分开、药品的阳光采购、价格规范调整。在整个医改过程中,对精神疾病患者是有一定的好处。除此之外,北京卫生计生委要求专科医院为患者推出符合专业特点的特色化服务,使患者的看病更加方便,服务更加完善。搭建精神卫生的

4月8日北京市医改正式启动。在公立医院改革的状况下,精神专科医院改革的方向是什么?

北京安定医院王刚院长在国家卫生计生委4月7日举行的新闻发布会上表示:北京市医改,主要是三医联动的医改,涉及到医药分开、药品的阳光采购、价格规范调整。在整个医改过程中,对精神疾病患者是有一定的好处。除此之外,北京卫生计生委要求专科医院为患者推出符合专业特点的特色化服务,使患者的看病更加方便,服务更加完善。

搭建精神卫生的疾病管理体系

结合北京市医改,关于未来国家、地区医改方向,比如分级诊疗,这些大型的精神专科医院也是在思考,在医改的背景下,我们应该如何定位,应该做些什么?王刚表示,下一步医改肯定围绕着分级诊疗体系的搭建。原来精神疾病的患者,很多精神疾病是需要一个长期的治疗,虽然不一定都终身治疗,但是需要长期治疗、长期关注。原来,大型的专科医院负责“急性疾病治疗”,由于缺乏分级诊疗体系的构建,患者可能直接就回到家里去了。大型的三级精神专科医院、二级医院,像北京市各个区县的精神卫生防治所属于这个级别,还有社区,他们的角色定位到底如何,放在一个全病程的疾病管理当中,各自应该发挥什么样的作用,这些原来都并不太清晰的。所以借助医改,借助分级诊疗体系的构建,专科医院要积极地跟下面二级医院、社区医院结合,共同帮助政府搭建精神卫生的疾病管理体系。

成立专科医联体

王刚表示,成立专科医联体,也是改革方向之一。“以我们医院为例,近期可能启动北京市纵向的专科医联体,跟二级的精神卫生防治所、社区,建一个三级精神卫生的医联体,专科医院在最顶端,起到引领作用。除此之外,横向的医联体也是非常重要的。其实有很多精神障碍,包括抑郁、焦虑、失眠这种常见的精神障碍为例,其实他们当中的大多数患者并不是在专科医院就诊,而是在综合医院,这里面的因素很多了。要提高综合医院对精神疾病的诊断和识别治疗的能力,我们希望通过横向医联体的构建,响应国家卫计委的号召,带动对主要精神障碍的识别和治疗的能力,这也是我们专科医院在医改当中,在未来发展当中,通过构建纵向横向的医联体,至少在专业技术上起到引领作用,这样能为患者提供更好的服务。”

构建专业特色

除此之外,王刚表示,专业特色建设,重点发挥专业特色也非常重要。患者到医院来,最根本的是要解决问题,精神专科原来有自己的发展方向,可能有很多亚专科的划分,更细的专业特色的体现还不够,这也是国内很多专科医院努力的方向,就是专业特色的构建。

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    2017-11-09 情途末路

    学习了.获益匪浅!感谢分享

    0

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