小远散部队卫勤保障模式和能力的研究
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摘要
21世纪是一个变幻难测的世纪。随着科学技术迅猛发展，全球经济形势一体化格局的形成以及世界政治风云变幻，国际国内环境、周边局势更加复杂多变，突发事件和战争随时随地有可能发生。面对这种局势，要充分认识我国面临的严峻威胁，打赢未来高技术局部战争，就必须加速我军现代化建设，牢固树立现代化卫勤保障观念。基层部队医疗机构作为军队卫勤保障力量的重要组成部分，无论平时或战时，都处于卫勤保障第一线，担负着“平时保健康，战时保打赢”的双重职能。然而由于市场经济和军队不经商政策的影响，基层卫生工作暴露出许多新问题，特别是小远散单位官兵看病“三难”(就诊难、吃药难、转诊难)问题日益突出。本论文从广州军区所属的小、远、散单位卫生工作现状着手研究，探索新形势下如何利用部队现有卫生资源和地方社会保障力量解决基层官兵就诊问题。文章采用实证法，首先分析了作者1998年任某单位卫生科长以来掌握的所属基层单位卫生工作存在问题的第一手材料，并深入广州军区司令部、沈阳军区技术局所属单位医疗机构进行了调研，又以点带面对广州军区卫生部信息统计中心所提供的基层部队卫生工作有关数据及其卫生工作存在的诸多问题进行客观的综合分析研究，找出了问题的根本症结所在。随后总结了作者为解决基层部队官兵看病难问题进行创新试点所取得的经验，并查阅大量文献资料，借鉴外军和我军其他单位卫勤保障的成功做法，结合小、远、散单位的具体实际，较客观地提出了采取“实行社会保障和建立区域性中心门诊部(卫生所)相结合”的模式解决基层官兵就医难问题的设想。其措施实用性、操作性强，符合基层单位的实际。
The 21st century is ever changing. With the rapid development of scientific technologies, the shaping of integrative global economic situation, and the unfathomable world political climate, international and domestic environment has become more and more complex. Breaking events and even war could take place at any time and any place. Under these circumstances, we have to fully realize the grave menace we are facing and believe in heart the concept of modern health service in order to speed up the modernization of our military and win the hi-tech regional war in the future. As an important component of the military health service, medical sections in the grass roots are the front lines of health service, no matter in wartime or peacetime. They have the double function of "ensuring health in peacetime, and victory in wartime". However, due to the impact of market economy and the policy of "no participation of military in the trade", many new problems have come forth in the health service of grass roots. In par
ticular, the "three difficulties" of hospitalizing, medicating, transferring have become much more serious.
This dissertation started from studying the status qua of health service of small, remote and dispersed units, and tried to explore the ways to employ existing military hygienic resources and civil social security systems to solve the problem of hospitalizing in the grass roots.
This dissertation was based on the personal experiences of the author. In the first place, it analyzed the first hand materials concerning problems of health service in the grass roots, which the author obtained since he was medical section chief in 1998. He went deep into the subordinate medical units of the headquarters of Guangzhou Military Region and the Technological Reconnaissance Bureau of Shenyang Military Region for investigation and research. By extending from points to sides, he conducted a collective and objective analysis on the problems existing in the hygiene service of grass root units and the concerning data provided by the
-2-
Information Statistical Center of the medical Department of Guangzhou Military Region, and he found the sticking point in the end. In this dissertation, the author summed up the experiences he obtained by consulting volumes of medical publications and his creative method of establishing experimental units to tackle the problem of difficult hospitalizing, and he used the successful practices of other military health service units domestic and abroad for reference. After considering the real condition of the small, remote and dispersed units, he put forward this comparatively objective method of "combining social security system with establishing regional central out-patient departments or clinics" to cope with the problem of hospitalizing difficulty in grass roots. This method is practicable and operational, and in line with the condition of grass root units.
The 21st century is ever changing. With the rapid development of scientific technologies, the shaping of integrative global economic situation, and the unfathomable world political climate, international and domestic environment has become more and more complex. Breaking events and even war could take place at any time and any place. Under these circumstances, we have to fully realize the grave menace we are facing and believe in heart the concept of modern health service in order to speed up the modernization of our military and win the hi-tech regional war in the future. As an important component of the military health service, medical sections in the grass roots are the front lines of health service, no matter in wartime or peacetime. They have the double function of "ensuring health in peacetime, and victory in wartime". However, due to the impact of market economy and the policy of "no participation of military in the trade", many new problems have come forth in the health service of grass roots. In par
ticular, the "three difficulties" of hospitalizing, medicating, transferring have become much more serious.
This dissertation started from studying the status qua of health service of small, remote and dispersed units, and tried to explore the ways to employ existing military hygienic resources and civil social security systems to solve the problem of hospitalizing in the grass roots.
This dissertation was based on the personal experiences of the author. In the first place, it analyzed the first hand materials concerning problems of health service in the grass roots, which the author obtained since he was medical section chief in 1998. He went deep into the subordinate medical units of the headquarters of Guangzhou Military Region and the Technological Reconnaissance Bureau of Shenyang Military Region for investigation and research. By extending from points to sides, he conducted a collective and objective analysis on the problems existing in the hygiene service of grass root units and the concerning data provided by the
-2-
Information Statistical Center of the medical Department of Guangzhou Military Region, and he found the sticking point in the end. In this dissertation, the author summed up the experiences he obtained by consulting volumes of medical publications and his creative method of establishing experimental units to tackle the problem of difficult hospitalizing, and he used the successful practices of other military health service units domestic and abroad for reference. After considering the real condition of the small, remote and dispersed units, he put forward this comparatively objective method of "combining social security system with establishing regional central out-patient departments or clinics" to cope with the problem of hospitalizing difficulty in grass roots. This method is practicable and operational, and in line with the condition of grass root units.
引文
[1] 王景诚．卫勤论文集萃．中国人民解放军后勤学院，1991，10
[2] 包亚萍，王德耀，李霞等．上海市某大型综合性医院卫生人力现状研究．解放军医院管理杂志，1996，3(7)378
[3] 广州军区技术局执行《九五规划》工作总结(内文)
[4] 黄松泉．合理使用部队卫生人力资源的探讨．国防卫生论坛．2002，(1)13
[5] 史新中．远离部队医院小散单位医疗保障社会化初探．解放军医院管理杂志，2000．2(4)88
[6] 周海洋．军队医院后勤保障社会化初探．解放军医院管理杂志，1999，5(6)388
[7] 田耀荣．联勤后医院对社会有偿服务要正确处理好四个关系．解放军医院管理杂志，2000，7(1)：13-14
[8] 王焕春．创建“军人就医绿色通道”的做法与成效．解放军医院管理杂志．2000，7(1)：16
[9] 江建荣．21世纪军事环境与军事医学．第一版：人民军医出版社，2000．246
[10] 广州军区技术局[2000]技卫字01号文件《南澳防城两科官兵就诊有关规定》
[11] 总后财务部2003年公务事业费标准汇编
[12] 肖明．关于军队医疗保障社会化的若干思考．国防卫生论坛2002，11(1)
[13] 李富荣．深化联勤卫勤保障体制改革的几个问题．2000，9(1)
[14] 林小华．小散远单位医疗保障情况的调查及建议．国防卫生论坛，2003，12(1)
[15] 刘新明．城镇医药卫生体制改革政策问答北京：中国协合医科大学出版社，2001，9
[16] 关于印发《广州市城镇职工基本医疗保险定点医疗机构管理办码法》的通知，广州市劳动和社会保障局，广州市卫生局文件穗劳社医[20]号
[17] 广州军区技术局[2000]技卫字01号文件《南澳防城两科官兵就诊有关规定》
[18] 广州军区技术局[2000]技卫字10号文件《卫生人员下基层锻炼实施细则》
[19] 广州军区技术局[2001]技卫字07号文件《卫生人员管理暂行规定》
[20] 广州军区卫生部2002年卫生工作总结(内部资料)
[2] 包亚萍，王德耀，李霞等．上海市某大型综合性医院卫生人力现状研究．解放军医院管理杂志，1996，3(7)378
[3] 广州军区技术局执行《九五规划》工作总结(内文)
[4] 黄松泉．合理使用部队卫生人力资源的探讨．国防卫生论坛．2002，(1)13
[5] 史新中．远离部队医院小散单位医疗保障社会化初探．解放军医院管理杂志，2000．2(4)88
[6] 周海洋．军队医院后勤保障社会化初探．解放军医院管理杂志，1999，5(6)388
[7] 田耀荣．联勤后医院对社会有偿服务要正确处理好四个关系．解放军医院管理杂志，2000，7(1)：13-14
[8] 王焕春．创建“军人就医绿色通道”的做法与成效．解放军医院管理杂志．2000，7(1)：16
[9] 江建荣．21世纪军事环境与军事医学．第一版：人民军医出版社，2000．246
[10] 广州军区技术局[2000]技卫字01号文件《南澳防城两科官兵就诊有关规定》
[11] 总后财务部2003年公务事业费标准汇编
[12] 肖明．关于军队医疗保障社会化的若干思考．国防卫生论坛2002，11(1)
[13] 李富荣．深化联勤卫勤保障体制改革的几个问题．2000，9(1)
[14] 林小华．小散远单位医疗保障情况的调查及建议．国防卫生论坛，2003，12(1)
[15] 刘新明．城镇医药卫生体制改革政策问答北京：中国协合医科大学出版社，2001，9
[16] 关于印发《广州市城镇职工基本医疗保险定点医疗机构管理办码法》的通知，广州市劳动和社会保障局，广州市卫生局文件穗劳社医[20]号
[17] 广州军区技术局[2000]技卫字01号文件《南澳防城两科官兵就诊有关规定》
[18] 广州军区技术局[2000]技卫字10号文件《卫生人员下基层锻炼实施细则》
[19] 广州军区技术局[2001]技卫字07号文件《卫生人员管理暂行规定》
[20] 广州军区卫生部2002年卫生工作总结(内部资料)
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