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为了能够有效解决农村医疗卫生优质资源下不去、基层人才留不住、群众看病不方便等问题,西安市在对基层卫生人才进行全面分析和调研后,提出了以“三个统一、三个不变”为核心内容的医疗服务县镇一体化工作模式。该模式在保持乡镇卫生院职能不变的前提下,把乡镇卫生院整体纳入区县级公立医院管理,实行编制人事、运营管理、医疗服务三个一体化管理,希望进一步提高基层医疗卫生单位服务能力。通过两年多的运行,试点乡镇卫生院门急诊诊疗人数、住院人数、双向转诊人数、业务收入等有了明显提升,极大地方便了农村群众看病就医,降低了群众经济负担,有效缓解了农村群众的看病难、看病贵问题。
In order to effectively solve the problem that rural high-quality medical resources can not go on and down, grass-roots talents can not keep, the public is not convenient for medical treatment. After a comprehensive analysis and investigation of health personnel at the grass-roots level, Xi’an proposed “three unified, three A constant ”as the core content of medical services county-level integration mode of work. Under the premise of maintaining the functions of township hospitals, this model incorporates the township hospitals into the management of public hospitals in the district and county level and implements the integrated management of personnel, operation and management and medical services, hoping to further improve the service of primary health care units ability. After more than two years of operation, the number of outpatient and emergency medical services, inpatients, two-way referrals and business income of the pilot township hospitals have been significantly improved, which has greatly facilitated the medical care of the rural people and reduced the economic burden on the masses, effectively alleviating Difficult to see the rural people, expensive medical problems.