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辽宁省五方面发力建设整合型医疗卫生服务体系_我的网站

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一 | 10月11日，省政府新闻办召开新闻发布会，省卫生健康委相关负责人就近日省委办公厅、省政府办公厅印发的《辽宁省进一步完善医疗卫生服务体系实施方案》（以下简称《实施方案》）进行介绍。　　《实施方案》明确，面向2035年，以为全省人民提供公平可及、系统连续、覆盖全人群、全生命周期的健康服务为目标，大力促进优质医疗资源扩容和区域均衡布局，努力推进体系整合，服务衔接，不断提升医疗卫生服务体系运行效率和应对各类突发公共卫生事件的能力，全面建成“体系完整、分工明确、功能互补、连续协同、运行高效、富有韧性”的整合型医疗卫生服务体系，打造东北乃至全国医疗高地。 Europe’s leading hotelier Accor - a French international hospitality business with billions in revenue and more than 5,100 hotels - is now beginning “trials” to hire people with no experience in the hotel industry, the company’s chief executive Sebastien Bazin said, as it struggles to fill at least 35,000 vacancies.,“We tried in Lyon and Bordeaux 10 days ago and this weekend we're having people interviewed with no CV, no previous job experience and they are hired within 24 hours," Bazin said.,Since underpaid workers left the company, Accor is now filling those positions with those who are desperate for work such as students and/or expats.,Those who are practically hired on the spot by the multi-billion dollar company are trained in only six hours and are forced to learn on the job. The company will also limit their contact with customers as they struggle with staffing.,"It's students, people coming from North Africa," Bazin said, "and basically closing restaurants for lunch or [opening them] only five days a week. There's no other solution.",Some hoteliers will have to increase pay to find the help they need this tourist season. Spain’s tourism sector supported 13.5 percent of their workforce in 2018 - before the pandemic - and accounted for 11.8 percent of their gross domestic product in 2017. But Spain’s catering industry is at present short some 200,000 workers, and Portugal is fighting to increase staff at their hotels to keep pace with increasing demand.,"Many employees have decided to move to other sectors, so we are starting an industry from scratch and we have to fight for talent," said Gabriel Escarrer, chief executive of Spanish hotel group Melia which, along with other hospitality businesses, is reportedly offering higher wages than previously, health insurance, and free accommodation - though that last perk could be more a reflection of the shortage of housing near resorts.,However, hoteliers such as Hotel Mundial - located in Lisbon, Portugal - are facing the far from ideal decision of cutting services if they can’t find staff, and those who employ students will have to juggle rotas to accommodate their schedules.,“During the week we can't open because we have no hands - they are studying,” said Jose Carlos, who owns a bar in Madrid called Tabanco de Jerez.,Spain's hospitality industry is now paying 60 percent more than it did last year, on average, in an attempt to lure workers back to the force - however, those working in the tourism industry are still among the lowest-paid workers.,"Half of it is we've been blind, we've been not paying attention to a lot of people and probably underpaying some people for too long as well," said Bazin, who is worried his company won’t have enough staff when the summer rush, which is the height of the tourist season - arrives. "So it's a wake-up call.",One of the best documented reasons for people leaving their job during 'The Great Resignation' was because they were being paid too little. Another reason was the lack of professional advancement within the industry.,Other reasons people quit in 2021 included: feeling disrespected, lack of flexibility in scheduling, and a lack of benefits such as healthcare and paid holiday, according to a Pew Research Center survey. That same survey found that those who quit their job were able to find new places of employment that offered them better pay and more opportunities.。　　为更好地实现这一目标，《实施方案》提出五方面内容，包括优化资源配置，加强人才队伍建设，推进能力现代化；加强分工合作，促进分级诊疗，推进体系整合化；提高服务质量，改善服务体验，推进服务优质化；加强科学管理，压实责任，推进管理精细化；深化体制机制改革，提升动力，推进治理科学化。　　《实施方案》提出，在医疗资源配置上，要进一步加强基层医疗卫生体系和能力建设，建强一批中心乡镇卫生院，发展社区医院，筑牢基层医疗卫生服务网底。加强县级医院临床专科能力、公共卫生能力和管理能力建设，推动一批县级医院达到三级甲等医院服务能力，进一步突出县级医院县域龙头地位。在全省设置辽中、辽南、辽西、辽东省级综合性和专科类别区域医疗中心，推动高水平专科医院建设，实施临床重点专科“3223”建设项目，即到2025年，创建不少于30个国家临床重点专科，建设200个左右省级临床重点专科、200个左右市级临床重点专科、300个左右县级临床重点专科。　　在公共卫生资源配置上，加强重大疫情防控救治体系和应急能力建设，建立健全分级、分层、分流的重大疫情救治机制。

二 | 推进胸痛、卒中、危重孕产妇、危重新生儿和儿童、创伤“五大中心”建设。加强院前急救体系和医疗机构急诊科规范化建设，推进服务精准衔接。在接续性服务上，进一步扩大康复医疗、老年护理、残疾人护理、母婴护理、社区护理、安宁疗护及营养支持等服务供给。在人才资源上，积极引育高层次人才，加强基层医疗卫生人才培养和引进。

三 | 　　为促进分级诊疗，《实施方案》要求，以健全家庭医生制度为切入点，落实签约居民在就医、转诊、用药、医保等方面的差异化政策。

四 | 以推进紧密型城市医疗集团和县域医共体建设为重点，促进医疗卫生服务整体连续。同时，完善老年人健康服务网络，发挥中医药重要作用。　　在提高服务质量、改善服务体验方面，《实施方案》明确，落实医疗质量安全核心制度，加强全过程医疗质量控制，规范医疗服务行为，确保质量安全。健全多学科联合诊疗和查房制度，落实分级诊疗技术标准和工作机制，探索城市医疗集团双向转诊服务路径，探索基层医疗卫生机构与上级医疗机构设立慢性病联合门诊，促进治疗、预防和康复等服务的连续性。加强人文关怀，改善就医环境，优化布局和流程，推广线上线下一体化服务，支持为重点人群提供上门服务，提高服务便捷性和舒适性。