三级综合医院医疗服务能力指南摘要.PDFVIP

三级综合医院医疗服务能力指南 （2016 年版） 编写说明 为贯彻落实十八届三中、四中、五中全会精神，根据《国务 院办公厅关于推进分级诊疗制度建设的指导意见（国办发〔2015〕 70 号）》要求，国家卫生计生委组织专家制定了《三级综合医院 医疗服务能力指南（2016 年版）》（以下简称《指南》）。各三 级综合医院要按照《指南》要求，严格落实“十三五”卫生与健 康规划、区域卫生规划和医疗机构设置规划，控制医院规模，重 视医院内涵建设；明确三级综合医院功能定位，开展与自身功能 定位相适应的诊疗服务，不断提升医疗服务能力与水平；充分发 挥技术辐射和带动作用，通过对口帮扶、医联体等多种方式，促 进医疗资源纵向整合，引导优质医疗资源下沉，提升基层医疗机 构服务能力，推动构建分级诊疗模式。 本指南提及的医疗服务能力是指为符合三级医院功能定位的 医疗服务能力，包含医院资源配置、技术人员、工作效率与效果、 医疗诊治能力与医疗技术水平等。 本指南由六章组成，涵盖了三级综合医院基本设置、运行绩 效、疾病/手术覆盖、临床专科服务能力、医技科室服务能力、临 床路径单病种平均住院日等，用客观数据来衡量三级综合医院各 方面的真实水平。客观数据主要来源于《三级医院医疗服务能力 基线调查》。本指南适用于三级综合医院，侧重于医疗服务能力 要求，不涉及对特需医疗服务的要求。 目录 1 基本设置 ·································································································1 1.1 床位规模····································································································1 1.2 诊疗科目····································································································1 1.3 医疗设备····································································································3 1.4 人力资源····································································································4 1.5 信息化建设·································································································5 2 运行绩效 ·································································································5 2.1 工作负荷····································································································5 2.2 工作效率····································································································6 2.3 服务质量····································································································6 3 临床专科医疗服务能力··············································································6 3.1 内科·································