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目的研究分析师级干部全军医院住院“一卡通”的可行性,并为团级以下干部实现全军医院住院“一卡通”提供参考。方法在兰州、济南、南京、成都4个战区进行4个月时间试点,通过在管理部门建立的监控平台收集数据进行分析。结果非体系师级干部住院主要集中于师级医院,病员就医趋向先就近就便、再就优,住院病种多为心脑血管疾病和恶性肿瘤,医院收容压力在可承受范围内。结论在全军推行师级干部住院“一卡通”是可行的,但应坚持现行的基层医疗机构和体系医院首诊制度,搭建电子病历信息共享平台实现医院间诊疗信息联通共享,建立非体系师级干部住院费用补助机制。
Objective To study the feasibility of hospitalization of “caddy” in military hospitals of division-level cadres and to provide references for cadres under the regiment level to realize hospitalization of “all-cadre hospital”. Methods The trial was conducted in 4 battles in Lanzhou, Jinan, Nanjing and Chengdu for 4 months, and the data were collected through the monitoring platform set up by the management department. Results Non-system division-level cadres hospitalized mainly in the division level hospitals, the patient tends to go to the nearest medical treatment, and then excellent, inpatient diseases are mostly cardiovascular and cerebrovascular diseases and malignant tumors, the hospital accommodation pressure in the affordable range. Conclusion It is practicable to carry out the hospitalization of cadres in the army with “One Card”. However, we should adhere to the first system of primary medical institutions and system hospitals, set up the electronic medical record information sharing platform to achieve the sharing of diagnosis and treatment information among hospitals, and establish a non-system Teacher Cadre Hospitalization Subsidy Mechanism.