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我院是隶属保定市北市区的一所二级甲等医院,辖区现有居民20万人。我院自1958年建院以来,一直担负着该社区的医疗保健工作。近几年,随着社会主义市场经济的发展,医疗竞争不断加剧,原来的城市三级医疗保健网络功能减弱。作为区级医院,如何在市场经济条件下,适应医学模式的转变,保持自身的不断发展,更好地为社区人民健康服务,成为我国城市医疗改革的难点。我们医院在这方面进行了有益的探索,我们的做法是:走出医院,面向社区,直接深入寻常百姓家,开展全方位医疗保健活动,即我们所称的“家庭医疗保健服务”。这项工作开展8年多来,深受社区人民欢迎,得到了区、市政府的肯定。现将我们的做法介绍如下:
Our hospital is a Grade-A hospital affiliated to the north of Baoding City. There are 200,000 residents in the area. Since our hospital was established in 1958, it has been responsible for the community’s medical care. In recent years, with the development of the socialist market economy, medical competition has continued to intensify, and the original three-tier medical and health care function in the city has weakened. As a district-level hospital, how to adapt to changes in the medical model under the market economy, maintain its own continuous development, and better serve the people’s health in the community, has become a difficult point in China’s urban health care reform. Our hospital has carried out beneficial explorations in this regard. Our approach is to get out of the hospital and face the community, go directly to the homes of ordinary people, and carry out all-round medical and health care activities, which we call “home health care services.” This work has been going on for more than eight years and has been welcomed by people in the community. It has been recognized by the district and city governments. Now we introduce our approach as follows: