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target="_blank">健康报</a></span> <span id="i2i2jyu4k" class="fr"> <div id="i2i2jyu4k" class="bdsharebuttonbox"><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空间"></a><a href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到腾讯微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人网"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <script>window._bd_share_config={"common":{"bdSnsKey":{},"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"16"},"share":{}};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];</script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <p style="text-indent: 2em; text-align: left;">近日，上海市卫生部门发布最新统计：2017年度上海区级医院与社区卫生服务中心门急诊总量增幅首次超过市级医院。这背后，一方面是有的放矢的政策举措推动居民就医回流基层社区，另一方面则是三甲医院也在悄然转型。</p><p style="text-indent: 2em; text-align: left;">最新数据显示，2017年度市级医院门急诊总量较上年同期增长幅度明显减缓为0.73%，为2013年以来历年同期增长幅度的最低水平。相对地，区级医院、社区卫生服务中心的门急诊总量同比分别增长4.69%、1.51%。</p><p style="text-indent: 2em; text-align: left;">要让患者下沉，先得让优质医疗资源下沉。近年来，上海市出台一系列举措推进医疗水平优质均衡发展，例如“5+3+1”工程，实现每个区都有一家三级医院的格局；全市形成多种类型的医联体40多个，三级医院全部参与医联体建设。同时，社区卫生综合改革稳步推进。2017年，上海市“1+1+1”签约居民在组合内就诊率达74%，签约社区就诊率为53%。诸多举措中，延伸处方是有的放矢的典范，让老百姓不出社区就能配到常见的慢性病药品。据最新统计，上海市已开出110万张延伸处方，换言之，至少有100多万人次的门诊量回流社区。</p><p style="text-indent: 2em; text-align: left;">另一方面，上海市的三甲医院也已悄然转型：不再单纯追求门诊量，而是把医联体建设、推进区域分级诊疗作为未来医院发展的重中之重。例如，复旦大学附属中山医院已在远郊与市区牵头成立多个医联体，上海交通大学医学院附属瑞金医院牵头建立血液、康复等多个专科医联体，上海市第一人民医院大力推进同质化管理，让松江与虹口实现“南北两翼”齐头并进……三甲医院越来越明晰自身在新医改中的担当，正如上海市第一人民医院院长王兴鹏所说，医改进入深水区，作为三甲综合性医院，必须充分发挥公益性与社会性，在区域分级诊疗中起到引领作用。这也是未来大型公立医院最重要的职责之一。（特约记者宋琼芳）</p> </div> <p class="Editor">编辑：赵彦 </p> <div 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