山东开出医疗改革“处方” “患”位思考做好“兜底文章”
中新网济南8月23日电 题：山东开出医疗改革“处方” “患”位思考做好“兜底文章”
党的二十届三中全会通过的《中共中央关于进一步全面深化改革、推进中国式现代化的决定》提出，深化医药卫生体制改革，包括促进医疗、医保、医药协同发展和治理；促进优质医疗资源扩容下沉和区域均衡布局等。山东紧握改革脉搏，开出医疗改革“处方”，通过探索医养深度融合、建立长护险制度、提升基层医疗卫生服务能力等，构建全方位、全周期的人民健康保障体系，“患”位思考做好医疗改革“兜底文章”，确保民众“疾病得医，健康可期”。
推进医养结合 让老有所养落到实处
山东高度重视老年人医养结合需求，探索医养结合服务新模式。作为全国老年人口数量最多的省份，山东以创建全国医养结合示范省为契机，打造了“居家医养、医护巡诊”“机构医养、两院一体”等一批服务模式，率先启用“医养结合机构电子地图”，为有需求的老年人提供多元化服务，老有所医、老有所养实现良性融合发展。
以山东大学第二医院南部院区(济南善德养老院)为例，该院区集养老、医疗、教学、研究为一体，为老年人提供全方位、一体化的全生命周期医养服务，从预防期的健康保健、患病期的精准治疗，到康复期的专业护理、稳定期的生活照料，乃至临终期的安宁疗护，全面提高老年人的生活和生命质量。
强化基层医疗 使民众在家门口有“医靠”
山东持续深化医改，着力解决基层医疗资源不足、服务能力不强等问题，让更多民众在家门口享受到优质医疗服务。
今年山东省政府工作报告提出，该省将健全乡村卫生服务体系，改造提升1万个村卫生室，用三年时间将乡村医生轮训一遍。在菏泽市成武县，当地人民医院总医院为全县13家乡镇分院及246家一体化村卫生室配备了设备，打造“城区15分钟、乡镇30分钟急救圈”，让民众就近看上病、看好病。
成武县纵深推进紧密型医共体改革，成为山东基层医疗卫生服务体系建设的典型案例。该县通过建立县域医疗服务共同体，整合县、乡、村三级医疗资源，实现“县乡村一体化”管理，有效提升了基层医疗服务能力，让基层民众在家门口享受到优质医疗服务。
“患”位思考 做好医疗改革“兜底文章”
山东在深化医疗改革的同时，高度重视“兜底”工作，确保民众“疾病得医，健康可期”。
山东省卫健委相关负责人表示，山东将继续深化医疗改革，探索更多“患”位思考的改革举措，不断提升医疗服务质量和效率，让人民群众享受到更加优质、便捷、公平的医疗服务。
英语如下：
Shandong Prescribes a Medical Reform “Prescription”: Putting Patients First in “Bottom-Line” Measures
Keywords: Shandong, medical, reform
Content:
Jinan, August 23 (Xinhua) — Shandong province has unveiled a medical reform “prescription” that prioritizes patients’ needs and focuses on”bottom-line” measures to ensure accessible and quality healthcare for all. This approach aligns with the spirit of the Third Plenary Session of the 20th Central Committee of the Communist Party of China, which emphasizes deepening healthcare reforms, including promoting coordinated development and governance of medical services, medical insurance, and pharmaceuticals, as well as expanding and optimizing the distribution of high-quality medical resources.
Promoting Integrated Medical and Elderly Care to Ensure “Old Age with Care”
Shandong recognizes the growing need for integrated medical and elderly care services. As the province with the largest elderly population in China, Shandong has taken the leadin establishing a national model for integrated medical and elderly care, creating a range of service models such as “home-based medical and elderly care with medical staff visiting” and “institutional medical and elderly care with integration of hospitals and nursing homes.” The province has also launched an “electronic map of integrated medical and elderly care institutions” to provide diverse services for elderly individuals in need. This initiative ensures that the elderly receive both medical care and quality care in their later years, fostering a harmonious integration of these two aspects.
Shandong University Second Hospital Southern Campus (Jinan Shande Elderly Care Home) serves as a prime example. This facilityintegrates elderly care, medical services, teaching, and research, offering comprehensive and integrated medical and elderly care services throughout the entire life cycle. From preventive health care to precise treatment during illness, from professional rehabilitation care to stable-phase life assistance, and even end-of-life palliative care, the facility strives to enhance thequality of life and longevity of the elderly.
Strengthening Primary Healthcare to Provide “Medical Support” at the Community Level
Shandong continues to deepen medical reforms, focusing on addressing the challenges of insufficient primary healthcare resources and limited service capacity. The goal is to ensure that more people can access high-qualitymedical services within their communities.
This year’s Shandong provincial government work report proposes strengthening the rural healthcare service system, upgrading 10,000 village clinics, and providing comprehensive training for rural doctors within three years. In Chengwu County, Heze City, the local People’s Hospital has equipped all13 township hospitals and 246 integrated village clinics with medical equipment, creating a “15-minute emergency response circle in urban areas and a 30-minute emergency response circle in townships” to facilitate convenient and effective medical care for residents.
Chengwu County has made significant strides in implementing close-knit medical consortia reforms, becoming a model for primary healthcare service system development in Shandong. By establishing a county-level medical service consortium, the county has integrated medical resources at the county, township, and village levels, achieving “integrated management across county, township, and village.” This has effectively enhanced primary healthcare servicecapacity, enabling residents in rural areas to access high-quality medical services within their communities.
Putting Patients First in “Bottom-Line” Measures for Medical Reform
While deepening medical reforms, Shandong places a strong emphasis on “bottom-line” work to ensure that people receive necessary medical care and can look forwardto a healthy future.
A relevant official from the Shandong Provincial Health Commission stated that Shandong will continue to deepen medical reforms, explore more reform measures that prioritize patients’ perspectives, and continuously improve the quality and efficiency of medical services. The ultimate goal is to provide people with more high-quality, convenient, and equitable medicalservices.
【来源】http://www.chinanews.com/sh/2024/08-23/10273689.shtml
Views: 1