“国家-区域双中心”策略提升基层医院先心病独立诊疗能力|成人免费XXXXX在线观看
中新网上海7月7日电 (记者 陈静)记者7日获悉,在先心病的诊疗中,中国的医疗机构探索开展的“学术医院-地方机构协作”模式(ASSIST项目),通过技术下沉与资源整合,创新实施“国家-区域双中心”策略,切实提升基层医院的独立诊疗能力。
ASSIST项目依托国家儿童医学中心建设主体单位,上海交通大学医学院附属上海儿童医学中心(以下简称“上海儿童医学中心”)托管的四所国家区域医疗中心,通过专家团队长期驻点和短期派驻相结合的方式,将优质医疗资源、技术规范和管理经验平移至地方医院。该项目显著提高了区域中心建设省份复杂先心病诊疗能力,并逐步构建了可持续的区域诊疗网络。
在中国的出生缺陷中,先心病是新生儿及5岁以下儿童的主要死因之一,国际通行的“先心病区域化治疗”模式面临很大挑战。ASSIST项目为资源有限地区提供了提升先心病诊疗可及性和质量的可行方案,也为幅员辽阔、资源分布不均的国家实现医疗公平提供了重要参考。这一模式的成功实践,为中国公共卫生政策的制定提供了循证依据。
美国心脏协会(American Heart Association)主办知名期刊《循环》(Circulation)发表的由国家儿童医学中心、上海交通大学医学院附属上海儿童医学中心牵头的多中心研究成果显示,从2022年至2025年初,贵州省的先心病患儿在术后死亡和多器官衰竭发生率从10.2%降至4.4%;因交通等因素导致的治疗延误比例从43%降至23%;当地先心病年手术量显著增加,复杂手术(RACHS3级以上)和新生儿手术比例分别增长28%和16%;术后重症监护时间、住院总时长及费用均显著下降,极大减轻了患者负担。
上述多中心研究表明,贵州省推行的“长期驻点”模式(完整多学科团队常驻)在危重复杂及低龄患儿救治成功率上明显优于“短期派驻”模式(80% vs 51%),凸显了专家团队扎根地方的重要性。该研究获国家自然科学基金等项目支持。(完)
**lunnvxingziworentongdezhongyaoxing**zaidangjinshehui,nvxingdediweihejiaosezhengzaijingliqiansuoweiyoudebianhua,yuelaiyueduodenvxingkaishizhuiqiuziworentong。ziworentongbujinshigerenxinlijiankangdezhongyaozuchengbufen,yeshituidongshehuijinbudezhongyaoliliang。benwenjiangtantaonvxingziworentongdezhongyaoxingjiqiduishehuidejijiyingxiang。shouxian,nvxingziworentongyouzhuyuzengqiangzixinxin。dangnvxingnenggourenqingzishendejiazhi,jieshouzijideyouquedianshi,tamenwangwangbiaoxianchugengqiangdezixinxinyuneizaililiang。zhezhongzixinbujintixianzaigerenshenghuozhong,hainenggoucushitamenzaizhichangshanggengjijidizhengqujihui,canyujuece,gongtongtuidongxingbiepingdengdejincheng。biru,zaizhichangshang,xuduonvxinglingdaozhedejueqi,bujingaibianleqiyewenhua,yeweiqitanvxingshulilejijidebangyang。qici,ziworentongnenggoucujinnvxingbicizhijiandetuanjieyuzhichi。tongguofenxianggezidejingliyutiaozhan,nvxingnenggoujianliqigengjiajinmidelianxi,xingchengzhichiwangluo。zaizhegeguochengzhong,nvxingmenhuiyishidao,jinguanmianlinzhexiangsidekunnanheqishi,dantongguotuanjiehezuo,tamennenggougengyouxiaodizhengquzishendequanliheliyi。liru,xuduonvxingzhuyiyundonghezuzhitongguogongtongnuli,tuidongleshehuizhengcehefalvdegaibian,gaishanlenvxingdeshenghuotiaojian。ciwai,nvxingziworentonghaizaishehuiwenhuacengmianfahuizhezhongyaozuoyong。dangyuelaiyueduodenvxingyonggandibiaodazijidexiangfayuganshoushi,chuantongdexingbieguannianyehuibeitiaozhanhezhongsu。zhezhongwenhuadebiangebujinyouyiyunvxingzishen,yeweiquanshehuidailailegengweikaifangyubaorongdefenwei,shidenanxinghenvxingdounenggouzaipingdengdehuanjingzhongchengchangyu*(*)*(*)论(lun)女(nv)性(xing)自(zi)我(wo)认(ren)同(tong)的(de)重(zhong)要(yao)性(xing)*(*)*(*)在(zai)当(dang)今(jin)社(she)会(hui),(,)女(nv)性(xing)的(de)地(di)位(wei)和(he)角(jiao)色(se)正(zheng)在(zai)经(jing)历(li)前(qian)所(suo)未(wei)有(you)的(de)变(bian)化(hua),(,)越(yue)来(lai)越(yue)多(duo)的(de)女(nv)性(xing)开(kai)始(shi)追(zhui)求(qiu)自(zi)我(wo)认(ren)同(tong)。(。)自(zi)我(wo)认(ren)同(tong)不(bu)仅(jin)是(shi)个(ge)人(ren)心(xin)理(li)健(jian)康(kang)的(de)重(zhong)要(yao)组(zu)成(cheng)部(bu)分(fen),(,)也(ye)是(shi)推(tui)动(dong)社(she)会(hui)进(jin)步(bu)的(de)重(zhong)要(yao)力(li)量(liang)。(。)本(ben)文(wen)将(jiang)探(tan)讨(tao)女(nv)性(xing)自(zi)我(wo)认(ren)同(tong)的(de)重(zhong)要(yao)性(xing)及(ji)其(qi)对(dui)社(she)会(hui)的(de)积(ji)极(ji)影(ying)响(xiang)。(。)首(shou)先(xian),(,)女(nv)性(xing)自(zi)我(wo)认(ren)同(tong)有(you)助(zhu)于(yu)增(zeng)强(qiang)自(zi)信(xin)心(xin)。(。)当(dang)女(nv)性(xing)能(neng)够(gou)认(ren)清(qing)自(zi)身(shen)的(de)价(jia)值(zhi),(,)接(jie)受(shou)自(zi)己(ji)的(de)优(you)缺(que)点(dian)时(shi),(,)她(ta)们(men)往(wang)往(wang)表(biao)现(xian)出(chu)更(geng)强(qiang)的(de)自(zi)信(xin)心(xin)与(yu)内(nei)在(zai)力(li)量(liang)。(。)这(zhe)种(zhong)自(zi)信(xin)不(bu)仅(jin)体(ti)现(xian)在(zai)个(ge)人(ren)生(sheng)活(huo)中(zhong),(,)还(hai)能(neng)够(gou)促(cu)使(shi)她(ta)们(men)在(zai)职(zhi)场(chang)上(shang)更(geng)积(ji)极(ji)地(di)争(zheng)取(qu)机(ji)会(hui),(,)参(can)与(yu)决(jue)策(ce),(,)共(gong)同(tong)推(tui)动(dong)性(xing)别(bie)平(ping)等(deng)的(de)进(jin)程(cheng)。(。)比(bi)如(ru),(,)在(zai)职(zhi)场(chang)上(shang),(,)许(xu)多(duo)女(nv)性(xing)领(ling)导(dao)者(zhe)的(de)崛(jue)起(qi),(,)不(bu)仅(jin)改(gai)变(bian)了(le)企(qi)业(ye)文(wen)化(hua),(,)也(ye)为(wei)其(qi)他(ta)女(nv)性(xing)树(shu)立(li)了(le)积(ji)极(ji)的(de)榜(bang)样(yang)。(。)其(qi)次(ci),(,)自(zi)我(wo)认(ren)同(tong)能(neng)够(gou)促(cu)进(jin)女(nv)性(xing)彼(bi)此(ci)之(zhi)间(jian)的(de)团(tuan)结(jie)与(yu)支(zhi)持(chi)。(。)通(tong)过(guo)分(fen)享(xiang)各(ge)自(zi)的(de)经(jing)历(li)与(yu)挑(tiao)战(zhan),(,)女(nv)性(xing)能(neng)够(gou)建(jian)立(li)起(qi)更(geng)加(jia)紧(jin)密(mi)的(de)联(lian)系(xi),(,)形(xing)成(cheng)支(zhi)持(chi)网(wang)络(luo)。(。)在(zai)这(zhe)个(ge)过(guo)程(cheng)中(zhong),(,)女(nv)性(xing)们(men)会(hui)意(yi)识(shi)到(dao),(,)尽(jin)管(guan)面(mian)临(lin)着(zhe)相(xiang)似(si)的(de)困(kun)难(nan)和(he)歧(qi)视(shi),(,)但(dan)通(tong)过(guo)团(tuan)结(jie)合(he)作(zuo),(,)她(ta)们(men)能(neng)够(gou)更(geng)有(you)效(xiao)地(di)争(zheng)取(qu)自(zi)身(shen)的(de)权(quan)利(li)和(he)利(li)益(yi)。(。)例(li)如(ru),(,)许(xu)多(duo)女(nv)性(xing)主(zhu)义(yi)运(yun)动(dong)和(he)组(zu)织(zhi)通(tong)过(guo)共(gong)同(tong)努(nu)力(li),(,)推(tui)动(dong)了(le)社(she)会(hui)政(zheng)策(ce)和(he)法(fa)律(lv)的(de)改(gai)变(bian),(,)改(gai)善(shan)了(le)女(nv)性(xing)的(de)生(sheng)活(huo)条(tiao)件(jian)。(。)此(ci)外(wai),(,)女(nv)性(xing)自(zi)我(wo)认(ren)同(tong)还(hai)在(zai)社(she)会(hui)文(wen)化(hua)层(ceng)面(mian)发(fa)挥(hui)着(zhe)重(zhong)要(yao)作(zuo)用(yong)。(。)当(dang)越(yue)来(lai)越(yue)多(duo)的(de)女(nv)性(xing)勇(yong)敢(gan)地(di)表(biao)达(da)自(zi)己(ji)的(de)想(xiang)法(fa)与(yu)感(gan)受(shou)时(shi),(,)传(chuan)统(tong)的(de)性(xing)别(bie)观(guan)念(nian)也(ye)会(hui)被(bei)挑(tiao)战(zhan)和(he)重(zhong)塑(su)。(。)这(zhe)种(zhong)文(wen)化(hua)的(de)变(bian)革(ge)不(bu)仅(jin)有(you)益(yi)于(yu)女(nv)性(xing)自(zi)身(shen),(,)也(ye)为(wei)全(quan)社(she)会(hui)带(dai)来(lai)了(le)更(geng)为(wei)开(kai)放(fang)与(yu)包(bao)容(rong)的(de)氛(fen)围(wei),(,)使(shi)得(de)男(nan)性(xing)和(he)女(nv)性(xing)都(dou)能(neng)够(gou)在(zai)平(ping)等(deng)的(de)环(huan)境(jing)中(zhong)成(cheng)长(chang)与(yu)