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[1]顾爱丹杜晓明徐怀忠李雯张丽丽汪涛刘泉.中医药技术在分级诊疗体系建设中的应用效果探讨[J].中国卫生质量管理,2025,32(10):109-112.[doi:10.13912/j.cnki.chqm.2025.32.10.22]
　GU Aidan,DU Xiaoming,XU Huaizhong.Exploration of the Effects of Applying Traditional Chinese Medicine Technologies in the Construction of a Hierarchical Diagnosis and Treatment System[J].Chinese Health Quality Management,2025,32(10):109-112.[doi:10.13912/j.cnki.chqm.2025.32.10.22]

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中医药技术在分级诊疗体系建设中的应用效果探讨

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年10期页码: 109-112 栏目: 问题与探索出版日期: 2025-10-15

Title:: Exploration of the Effects of Applying Traditional Chinese Medicine Technologies in the Construction of a Hierarchical Diagnosis and Treatment System

作者:: 顾爱丹杜晓明徐怀忠李雯张丽丽汪涛刘泉; 苏州高新区人民医院

Author(s):: GU Aidan; DU Xiaoming; XU Huaizhong; Suzhou High-Tech Zone People’s Hospital

关键词:: 医药卫生体制改革; 中医药政策; 医联体; 分级诊疗

Keywords:: Health Care System Reform; Traditional Chinese Medicine Policies; Medical Consortium; Hierarchical Diagnosis and Treatment

分类号:: R197.323

DOI:: 10.13912/j.cnki.chqm.2025.32.10.22

文献标志码:: A

摘要:: 目的探讨深化医改以促进中医药发展政策下新型分级诊疗体系建设在苏州高新区人民医院中的实施效果。方法通过收集新型分级诊疗体系实施前(2020年)和实施后(2021年、2022年、2023年)的主要医疗业务指标，使用年均增长率分析实施前后的医疗业务变化情况。结果2020—2023年苏州高新区人民医院门急诊量、出院患者量、转社区就诊量、社区转本院量、内分泌科门诊量、内分泌科住院量、中医科门诊量、中医康复科住院量年均增长率分别为15.14%、16.44%、174.27%、40.11%、6.82%、37.20%、6.73%、10.26%，药占比、住院患者满意度年均下降率分别为1.85%、0.04%。且存在区域内同类型机构发展不均衡现象突出、转诊效率差异显著、中医药政策效果分化等不足。结论深化医改促进中医药发展政策下新型分级诊疗体系建设初见成效，但需通过精准施策进一步释放基层潜力，推动区域内医疗资源均衡化、高质量发展。

Abstract:: ObjectiveTo explore the implementation effects of constructing a new hierarchical diagnosis and treatment system under the traditional Chinese medicine (TCM) policies of deepen health reform at Suzhou High-Tech Zone People’s Hospital.MethodsBy collecting key medical service indicators before (2020) and after (2021, 2022, 2023) the implementation of the new hierarchical diagnosis and treatment system, the annual average growth rate was used to analyze changes in medical services before and after implementation. ResultsFrom 2020 to 2023, the annual average growth rates of outpatient and emergency visits, discharged patients, referrals to community healthcare centers, referrals from community healthcare centers to the hospital, outpatient visits to the endocrinology department, inpatient admissions to the endocrinology department, outpatient visits to the TCM department, and inpatient admissions to the TCM rehabilitation department at Suzhou High-Tech Zone People’s Hospital were 15.14%, 16.44%, 174.27%, 40.11%, 6.82%, 37.20%, 6.73% and 10.26%, respectively. The annual average decline rates in the proportion of drug expenses and inpatient satisfaction were 1.85% and 0.04%, respectively. However, notable deficiencies were observed, including pronounced imbalances in the development of similar institutions within the region, significant variations in referral efficiency, and differential effects of TCM policies.Conclusion The construction of a new hierarchical diagnosis and treatment system under the TCM policies of deepen health reform has shown initial success. Nevertheless, further efforts are required to unlock the potential of primary healthcare through targeted strategies, promoting balanced and high-quality development of regional medical resources.

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更新日期/Last Update: 2025-10-15