上海城市二级医院的生存发展之道

将现行的三级医疗服务体系转为两级新型城市卫生服务体系,这一新医改方案直接影响着上海城市公立二级医院的生存与发展。1.目前二级医院处于夹缝中求生存的尴尬现状：上有众多整体实力强劲的三级医院,下有政府加大投入的无数中小医疗机构。2.明确功能定位是二级医院谋求生存与发展的契机,其功能定位要与三级、一级医院有着鲜明差异。3.二级医院可通过科学布局、合理转型、发展专科、兼并托管、形成特色、提高质量、保证服务、财政投入、拉开收费等方法,获得生存与发展。

Survival and Development of Secondary Hospitals in Shanghai

The transformation from the current three levels health care system into two levels,the New Rural Cooperative Medical Care System（NRCMCS）,will lead to the direct impact on the survival and development of secondary public hospitals in Shanghai.1.Nowadays,the secondary hospitals are seeking for Survival in the embarrassing situation：there are many strong tertiary hospitals as well as numerous medium and small medical institutions invested largely by the government.2.To seek survival and development opportunities,the secondary hospitals should clarify their functional positioning which should be distinctive from the tertiary hospitals and the first hospitals.3.The secondary hospitals could survive and develop by means of scientific position,rational restructuring,development specialist clinic,merger and trusteeship,forming characteristics,improving quality,assurance services,financial investment,widening fees and other methods.