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中央卫生工作会议把“以病人为中心”,作为医疗机构深化改革的方向加以强调,不仅有着重要的现实意义和深远的历史意义,更有着鲜明时代特征的丰富内容。广义的“以病人为中心”,应该是“全心全意为人民健康服务”。这是社会主义医疗卫生行业在新的医学模式中建设发展的根本目的。为了这一目的,各级医疗机构都应当在服务对象、内容和方式上实现新的转变。一是由个体防治服务转向为社会群体健康服务;由院内治疗服务转向为院外社区诊疗和健康咨询服务。二是要由着眼生物致病因素的作用转向生物、心理、社会因素的综合分析;由单纯治疗转向防治结合。三是由方便工作、以疾病为中心,转向方便病人,以病人为中心;由被动、滞后服务,转向主动、超前服务。这些新的转变,是坚持以病人为中心的基础,也是基本保证。
The Central Health Work Conference has emphasized the “patient-centered approach” as a direction for deepening the reform of medical institutions. It not only has important practical significance and far-reaching historical significance, but also has rich content with distinct characteristics of the times. The broad “patient-centered” approach should be “serving the people’s health wholeheartedly.” This is the fundamental purpose of the construction and development of the socialist medical and health industry in the new medical model. For this purpose, medical institutions at all levels should implement new changes in the service targets, contents, and methods. First, it turned from individual control services to social group health services; from hospital treatment services to extra-hospital community clinics and health consulting services. The second is to focus on the comprehensive analysis of biological, psychological, and social factors from the role of biological pathogenic factors; from simple treatment to prevention and control. The third is to facilitate work, focus on disease, to facilitate patients, and patient-centered; from passive and lagging services to active and advanced services. These new changes are the basis for adhering to a patient-centered and basic guarantee.