分級診療背景下的基層醫務人員教育模式探討

齊心　楊燕綏

摘? 要 醫療衛生體制改革的關鍵目標是強化基層醫療機構，只有基層醫療機構的診治能力得到提升，才能強化患者對基層醫生業務的信任;只有有效落實基層首診制，才能更好地推進分級診療制度建設[1]。通過對北京市C區醫療機構和基層醫務人員的總體現狀研究，發現對醫務人員的教育方法單一，形式陳舊，無法服務于分級診療的要求。以C區數據為切入點，剖析基層醫療機構教育工作的困境，探索提出對基層醫務人員的教育方法。

關鍵詞 分級診療;醫務人員;醫療機構;醫學教育

中圖分類號：G642.0? ? 文獻標識碼：B

文章編號：1671-489X（2020）04-0083-03

Discussion on Educational Mode of Grass-roots Medical Staff?under Background of Hierarchical Diagnosis and Treatment： Take District C of Beijing as an Example//QI Xin， YANG Yansui

Abstract Strengthening the primary medical institutions is the core?goal of the reform of the medical and health system. Only by impro-ving the diagnosis and treatment ability of the primary medical insti-tutions， strengthening the patients trust in the primary doctors busi-ness， and effectively implementing the primary diagnosis and treat-ment system at the primary level， can we better promote the con-struction of the hierarchical diagnosis and treatment system. Through?the research on the current situation of medical institutions and grass-roots medical personnel in District C of Beijing， it is found that the?education methods for medical personnel are single， outdated and unable to serve the requirements of hierarchical diagnosis and treat-ment. The author analyzes the difficulties of the education work of grass-roots medical institutions based on the data of District C， and explores the education methods for grass-roots medical personnel.

Key words hierarchical diagnosis and treatment; medical staff; me-dical institutions

1 引言

國務院辦公廳《關于推進分級診療制度建設的指導意見》指出，要推動和建設“基層首診、雙向轉診、急慢分治、上下聯動”的分級診療模式，繼續推進分級診療制度建設[2]。

但由于分級診療制度的系統性、復雜性和長期性的特點，決定了在推行過程中會受到相關利益沖突、醫療衛生服務體系與結構、經濟社會環境的影響[3]。其中，強化患者對基層醫生業務的信任，提升基層醫療機構的診治能力，有效落實基層首診制，才能更好地將分級診療制度建設扎實推進，實現健康服務體系的高效運行。

目前，北京市已經積累了一支相對穩定的基層醫療人員隊伍，但隨著分級診療工作的不斷深入和醫療保障制度、醫療服務體系的逐步完善，出現醫療衛生人才培訓機制落后、全科人才短缺的情況[4]，已開始制約醫改的進一步深化?！?br>