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class="fr"> <div id="i2i2jyu4k" class="jiathis_style_24x24"> <a class="jiathis_button_qzone"></a> <a class="jiathis_button_tsina"></a> <a class="jiathis_button_tqq"></a> <a class="jiathis_button_weixin"></a> <a class="jiathis_button_renren"></a> <a class="jiathis jiathis_txt jtico jtico_jiathis" target="_blank"></a> </div> <script type="text/javascript" src="http://v3.jiathis.com/code_mini/jia.js?uid=1399539302485450" charset="utf-8"></script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="http://www.rmzxb.com.cn/images/fx.jpg"/> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <p> 　　原标题：顶层设计完善了，分级诊疗可以很靠谱！——丁洁委员为分级诊疗再发声</p> <p> 　　李丽佳的两会愿望：</p> <p> 　　我是一个多年的高血压患者。现在医院有了规定，不能一次开好多药，这就造成我经常得到医院去开药。但是，每次去医院，都要至少排上40分钟的队，一耽误就得半天。我的两会愿望很简单：希望慢性病患者每次去医院开药的时候，能够少排一会儿队。</p> <p> 　　认识李丽佳机会很偶然。有一次在医院排队缴费的时候，她就站在我的前边。排队的人太多，我就跟她攀谈了两句。其实李丽佳所住的小区附近就有一所几乎总是没什么人的社区医院，她也曾经试过在那里开药，但她需要的药社区诊所根本就没有。因此，李丽佳只得隔一段时间就倒两次公交车到附近的大医院，排半天的队开药。</p> <p> 　　李丽佳所遇到的事情，并非个案。全国政协委员丁洁说：“老百姓的慢性病随访为什么不愿意去社区医院？现在大医院所有的医药品种在基层医院十分不全，造成综合医院相当比例的门诊量实际上是在开药。”</p> <p> 　　去年两会，本报就曾发表了题为《多少个三甲医院能解决13亿人的健康问题！》的文章，报道了丁洁委员大力呼吁尽快完善分级诊疗体系的意见，今年，当记者再次问到这个问题时，丁委员坐下来摸着锁骨说：“我只跟你讲讲心里话，我都有点灰心了。”</p> <p> 　　“其实，分级诊疗肯定是大的趋势，但是，做这件事必须要有顶层设计。”丁洁说，“分级诊疗的实施不是一个部门能够达到的。那么各个部门的利益谁去协调？肯定不能是医院、医生，更不可能是普通老百姓。”</p> <p> 　　“拿基层来讲，不是有一套房子，再给一个B超机就有分级诊疗了?；阋缴乃侥懿荒艽锏剑看锊坏剿磁嘌担空庖惶锥骺恳皆?、医生能解决吗？”</p> <p> 　　丁洁说：“提高基层医生的诊疗水平，其实办法非常多。我们可以让医生到大医院进一步深造学习，也可以采用医生带徒弟的办法。但是，医生脱产去学习，谁来给他补贴？我们是在说一个人，他的背后有家庭，不能要求他做了工作，但最后活不下去了呀。”</p> <p> 　　丁洁直言不讳地说：“我们现在只是提倡了分级诊疗，但相关的太不配套了。有关部门呼吁甚至强制命令‘加强基层’，大医院的医生下基层去了，医院里每天10个单元的门诊谁来看？再说基层，一句‘加强基层’，就弄成基层医院‘旱涝保收’，看多少病人都是这么多钱，这到底是爱护医生还是在害医生呢？”</p> <p> 　　丁洁说：“我认为，医改并不是改医院、改医生，而是好好地?；ひ皆骸⒈；ひ缴靡皆?、医生帮助卫生部门进行医改。顶层设计完善了，分级诊疗其实可以很靠谱！”</p> <p> </p> </div> <p class="Editor">编辑：王沥慷</p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：两会分级诊疗</p>    <h1 class="pv_title_2 mt_15"> <a target="_blank" class="more mtb_14">更多</a> <span id="i2i2jyu4k" 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