医疗供给侧改革下加速康复外科应用 |
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引用本文: | 李卡,冯金华,胡艳杰,刘雨薇,张伟.医疗供给侧改革下加速康复外科应用[J].解放军医院管理杂志,2016(12):1140-1143. |
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作者姓名: | 李卡 冯金华 胡艳杰 刘雨薇 张伟 |
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作者单位: | 1. 四川大学华西医院护理部,成都,610041;2. 四川大学华西医院胆道外科,成都,610041;3. 四川大学华西医院肝脏外科,成都,610041;4. 四川大学华西医院胃肠外科,成都,610041;5. 四川大学华西生物医学大数据研究中心,成都,610041 |
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基金项目: | 四川省科技厅支撑项目(2013SZ0026) |
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摘 要: | 2015年11月,国家在经济面临供给侧弊端突显的形势下,首次提出“供给侧结构性改革”的战略思想。将供给侧改革的思路引入中国医疗改革,即医疗供给侧改革应从扩大医疗供给的数量和质量出发,用创新的办法解决医疗服务供给不足,以及“医疗、医保、医药”的三医联动低效,从根本上解决“看病难、看病贵”问题。三级公立医院适应供给侧改革思路引领下的中国医改,加速康复外科已应用近20年的临床实施效果与社会效益,证明在医疗供给侧改革中解决三医联动低效所发挥的作用,并成为中国三级公立医院适应未来医改切实可行的抓手。
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关 键 词: | 供给侧改革 医疗供给侧改革 三医联动 加速康复外科( ERAS) |
Applications of Enhanced Recovery after Surgery under the Medicare Supply Reform Program |
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Abstract: | November 2015 , the national economy was faced with the highlighted situation of supply draw-backs.The government first proposed the “supply reform program” strategic thought.The supply reform program was introduced to the health care reform , which means the medicare supply reform program should start by expan-ding the the quantity and quality of medical supplies , using innovative solutions to improve the inadequate supply of medical services and solving the problem of inefficient tripartite system reform including “medical , health care , medicine”, so as to improve difficult and expensive medical treatment .Public hospitals should adapt to the supply reform program under the guidance of the Chinese medical reform .Enhanced recovery after surgery ( ERAS ) has been applied for nearly 20 years, with proved clinical and social effects .ERAS may be used in supply reform pro-gram to solve the problem of inefficient tripartite system reform , and become the feasible starting point for public hospitals to adapt to Chinese medical reform in the near future . |
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Keywords: | supply reform program medicare supply reform program tripartite system reform enhanced recovery after surgery |
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