国家卫生和计划生育委员会三级医院.docx
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国家卫生和计划生育委员会三级医院
国家卫生和计划生育委员会三级医院
篇一：
三级医院医疗服务能力标准
《三级医院医疗服务能力标准
（综合医院）》（征求意见稿）
中华人民共和国国家卫生和计划生育委员会
医政医管局20XX年07月04日
编写说明
为落实《中共中央国务院关于深化医药卫生体制改革的意见》（中发〔20XX〕6号）《国务院关于印发“十二五”期间深化医药卫生体制改革规划暨实施方案的通知》（国发〔20XX〕11号）和《国务院关于印发卫生事业发展“十二五”规划的通知》（国发〔20XX〕57号）文件精神，进一步明确三级医院的功能定位，完善医疗服务体系,推进分级诊疗，适应人民群众不断增长的健康需求和经济社会发展对卫生事业发展的新要求，我们起草了《三级医院医疗服务能力标准（综合性医院）》。
医疗服务能力是指以病人和一定社会人群为主要服务对象,以医学技术、设备、诊疗环境为基础服务手段,能够提供实际医疗产出的、非物质形态的服务的最大程度。
医疗服务能力包含的主要要素，即医院资源配置、技术人员、工作效率与效果、医疗诊治能力与医疗技术水平等。
本标准由六章组成，涵盖了三级综合医院基本设置、运行绩效、疾病/手术覆盖、临床专科服务能力、医技科室服务能力，用客观数据来衡量三级综合医院各方面的真实水平。
客观数据来源于《二、三级医院医疗服务能力基线调查》。
本标准适用于三级综合医院。
三级医院（综合医院）
目次
1基本设置·······················································································································3
1.1床位规模····························································································································31.2诊疗科目····························································································································31.3医疗设备····························································································································41.4人力资源····························································································································5
2运行绩效···················································································································5
2.1工作负荷····························································································································52.2工作效率····························································································································52.3服务质量····························································································································6
3临床专科医疗服务能力································································································6
3.1内科···································································································································7
3.1.1心血管内科···········································································································································73.1.2呼吸内科···············································································································································83.1.3消化内科·············································································································································103.1.4神经内科·············································································································································123.1.5内分泌科·············································································································································153.1.6肾病学·················································································································································173.1.7血液内科·············································································································································183.1.8免疫学·················································································································································203.2外科·································································································································223.2.1普通外科·············································································································································223.2.2骨科·····················································································································································253.2.3神经外科·············································································································································283.2.4泌尿外科·············································································································································303.2.5胸外·····················································································································································313.2.6心脏大血管外科·································································································································333.3妇产科······························································································································353.3.1妇科·····················································································································································353.3.2产科·····················································································································································373.5儿科·································································································································383.5.1新生儿·················································································································································383.5.2儿科其他·············································································································································403.6眼科·································································································································463.7耳鼻咽喉科······················································································································493.8口腔科······························································································································55
1
三级医院（综合医院）
3.9皮肤科·······························································································································573.10感染科····························································································································593.11肿瘤科····························································································································623.12急诊医学科····················································································································633.13康复医学科····················································································································653.14麻醉科····························································································································663.15重症医学科····················································································································673.16中医学科························································································································69
4医技科室医疗服务能力·······························································································69
4.1药剂科······························································································································694.2检验科······························································································································704.3病理科······························································································································774.4医学影像科······················································································································78
5临床路径单病种平均住院日列表················································································816疾病病种/手术及操作覆盖························································································85
2
三级医院（综合医院）
1基本设置
三级综合医院是跨县（区）、市、省提供医疗卫生服务，具有全面医疗、教学、科研、公共卫生服务等功能的医疗机构。
应具有与其相适应的基本设置，包括床位规模、诊疗科目、医疗设备以及结构合理的卫生技术人员，以满足三级医院服务功能、技术水平及管理要求。
1.1床位规模
1.1.1外科床位数占医院实际开放床位数比例≥30%。
1.1.2重症医学科（含所有专业icU）的床位数占医院实际开放床位数比例2%~8%。
1.2诊疗科目1.2.1一级诊疗科目
必设一级诊疗科目：
预防保健科、内科、外科、妇产科、儿科、眼科、耳鼻咽喉科、口腔科、皮肤科、精神科、传染科、肿瘤科、急诊医学科、康复医学科、麻醉科、重症医学科、医学检验科、病理科、医学影像科、中医科。
可选一级诊疗科目：
小儿外科。
1.2.2二级诊疗科目1.2.2.1内科
必设二级诊疗科目：
呼吸内科、消化内科、神经内科、心血管内科、血液内科、肾病学科、内分泌科。
3
篇二：
三级综合医院医疗服务能力标准
《三级医院医疗服务能力标准
（综合医院）》（征求意见稿）
中华人民共和国国家卫生和计划生育委员会
医政医管局20XX年07月04日
编写说明
为落实《中共中央国务院关于深化医药卫生体制改革的意见》（中发〔20XX〕6号）《国务院关于印发“十二五”期间深化医药卫生体制改革规划暨实施方案的通知》（国发〔20XX〕11号）和《国务院关于印发卫生事业发展“十二五”规划的通知》（国发〔20XX〕57号）文件精神，进一步明确三级医院的功能定位，完善医疗服务体系,推进分级诊疗，适应人民群众不断增长的健康需求和经济社会发展对卫生事业发展的新要求，我们起草了《三级医院医疗服务能力标准（综合性医院）》。
医疗服务能力是指以病人和一定社会人群为主要服务对象,以医学技术、设备、诊疗环境为基础服务手段,能够提供实际医疗产出的、非物质形态的服务的最大程度。
医疗服务能力包含的主要要素，即医院资源配置、技术人员、工作效率与效果、医疗诊治能力与医疗技术水平等。
本标准由六章组成，涵盖了三级综合医院基本设置、运行绩效、疾病/手术覆盖、临床专科服务能力、医技科室服务能力，用客观数据来衡量三级综合医院各方面的真实水平。
客观数据来源于《二、三级医院医疗服务能力基线调查》。
本标准适用于三级综合医院。
三级医院（综合医院）
目次
1基本设置·······················································································································3
1.1床位规模····························································································································31.2诊疗科目····························································································································31.3医疗设备····························································································································41.4人力资源····························································································································5
2运行绩效···················································································································5
2.1工作负荷····························································································································52.2工作效率····························································································································52.3服务质量····························································································································6
3临床专科医疗服务能力············································50px”width=“450px”alt=“国家卫生和计划生育委员会三级医院”title=“国家卫生和计划生育委员会三级医院”/>
····················································6
3.1内科···················································································································
升级会员 