骨质疏松分级诊疗政策解读及方案专家共识

2015年9月8日,国务院办公厅发布了《关于推进分级诊疗制度建设的指导意见》,为指导各地推进分级诊疗制度建设,围绕总体要求、以强基层为重点完善分级诊疗服务体系、建立健全分级诊疗保障机制、组织实施等四方面提出了意见。分级诊疗是按照疾病的轻、重、缓、急,以及治疗难易程度进行分级,不同级别的医疗机构分别承担规范治疗,实现基层首诊和双向转诊。骨质疏松分级诊疗需要构建一个全新的概念单元、命题和理论体系。其结构实体包括：个体、科室、基层医院、二级医院、三级医院、整合型医疗服务体系等多层组织框架。骨质疏松分级诊疗是对骨质疏松患者全程管理,早发现、早诊断、早治疗,全程管理的人群可分为4组：骨密度正常、骨量减少、骨质疏松、严重骨质疏松。对每组人群制定相应的防治方案,畅通转诊,连续治疗,上下联动,闭环管理。该共识旨在推动骨质疏松分级诊疗工作。

Interpretation of the hierarchical diagnosis and treatment policy for osteoporosis and expert consensus on the plan

On September 8, 2015, the General Office of the State Council issued the "Guiding Opinions on Promoting the Construction of a Hierarchical Diagnosis and Treatment System". Opinions were put forward in four aspects, including improving the guarantee mechanism for hierarchical diagnosis and treatment, and organizing and implementing them. Hierarchical diagnosis and treatment refers to grading according to the severity, severity, slowness and urgency of the disease, as well as the difficulty of treatment. Medical institutions at different levels undertake standardized treatment respectively. Realize the first diagnosis and two-way referral at the grassroots level. The hierarchical diagnosis and treatment of osteoporosis needs to construct a new conceptual unit, proposition and theoretical system. Its structural entities include: individuals, departments, primary hospitals, the secondary hospitals, tertiary hospitals, integrated service systems and other multi-layer organizational frameworks. The hierarchical diagnosis and treatment of osteoporosis is the whole process of management of osteoporosis patients, early detection, early diagnosis, and early treatment. The people who are managed throughout the whole process can be divided into four groups: normal bone density, osteopenia, osteoporosis, and severe osteoporosis. For each group of people, a corresponding prevention and treatment plan is formulated, smooth referral, continuous treatment, upper and lower linkage, and closed-loop management. The purpose of this consensus is to promote the hierarchical diagnosis and treatment of osteoporosis.