響應衛福部健保署「分級醫療」政策，羅東博愛醫院日前號召40餘家宜蘭縣內醫療院所的代表，參與醫療共好聯盟啟航活動，宣示相互間的合作將更為緊密，落實轉診機制，讓醫療資源更能有效運用。

衛福部健保署近年推動分級醫療、雙向轉診政策，希望能將醫療資源做更有效的運用。羅東博愛醫院指出，該院從民國93年起開始耕耘社區照護，致力於創造新的醫療產業結構「社區醫療衛星照護模式」，讓在社區擔任家庭醫師的醫療院所當守門員，為民眾健康把關。

目前為止，博愛醫院已和縣內63間基層院所結盟。當病人病情出現變化，或需要精密檢查時，結盟的診所會為病人轉介，由專業的醫療團隊接手，使醫療照護不中斷；當病情穩定可出院時，也會有出院準備個管師協助，將病人轉介給社區及診所醫師，持續接受優質的醫療照護。亦即小病就近看，大病再到醫院就診，藉此充分善用醫療資源，嘉惠更多民眾。laennec

6月24日博愛醫院特別舉辦「醫療共好聯盟啟航」活動，包括宜蘭縣政府衛生局局長劉建廷、宜蘭縣醫師公會常務理事林旺枝和江基良，以及羅東博愛醫院執行長許子文、醫療副院長盧進德及邱國欽等人，與40位診所醫師一同插旗，宣示落實執行分級醫療與雙向轉診，合作啟航。

衛生局長劉建廷表示，這場醫療共好活動是宜蘭的第一場，非常重要，衛生局會持續做好公部門協調角色，期許宜蘭縣的分級醫療在台灣可以做得最好。

博愛醫院舉例，礁溪一名53歲的劉先生，常常覺得疲倦、喘不過氣，由於工作繁忙難有時間請假到醫院看診，他利用羅東博愛醫院醫師在社區診所駐診機會，赴診所求醫，醫師診治發現異常，馬上於診所排定回院進行心臟超音波及24小時心電圖檢查，發現劉先生血管狹窄，緊急治療，成功防止心肌梗塞發生，便是分級醫療發揮效果的最佳例證。

副院長盧進德指出，分級醫療簡化與完善民眾轉診流程，建置了雙向轉診資訊平台，透過資訊系統整合需求，提供預掛轉診號、病人動向查詢、醫師專長介紹、轉診回覆單線上查詢等功能，107年轉診服務量比去年提昇了20%，顯示在合作與溝通、理解上，大家一起踏出了堅實的一步。

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In response to the “Grade Medical” policy of the Department of Health and Welfare, Luodong Boai Hospital recently called on more than 40 representatives of medical institutions in Yilan County to participate in the medical cooperation alliance, and announced that the cooperation between them will be closer and the implementation will be transferred. The diagnosis mechanism makes medical resources more effective.

The Health and Welfare Department of Weifu has promoted the grading medical and two-way referral policies in recent years, hoping to make more effective use of medical resources. Luodong Boai Hospital pointed out that the hospital began to cultivate community care since the Republic of China in 1993, and is committed to creating a new medical industry structure "community medical satellite care model", which is a goalkeeper in the community as a family physician, for the health of the people. check.

So far, Pok Oi Hospital has formed an alliance with 63 grassroots institutions in the county. When the patient's condition changes, or when a precise examination is needed, the alliance clinic will refer the patient, and the professional medical team will take over, so that the medical care will not be interrupted. When the patient is stable, he or she will be discharged from the hospital. , refer patients to community and clinic physicians and continue to receive quality medical care. That is to say, if you have a small illness, you will go to the hospital for serious illness, so as to make full use of medical resources and benefit more people.

On June 24th, Pok Oi Hospital held a special "Medical Good Alliance Alliance" event, including Liu Jianting, Director of Yilan County Government Health Bureau, Lin Wangzhi and Jiang Jiliang, Executive Director of Yilan County Medical Association, and Xu Ziwen, CEO of Luodong Pok Oi Hospital. Vice Presidents of Medicine Lu Jinde and Qiu Guoqin, together with 40 clinicians, flagged the implementation of the implementation of graded medical and two-way referrals, and cooperated to set sail.

Health Director Liu Jianting said that this medical good activity is the first of Yilan's, very important, the Health Bureau will continue to do a good job in the coordination role of the public sector, and it is expected that the graded medical treatment in Yilan County can do the best in Taiwan.

For example, Pui Ai Hospital, a 53-year-old Mr. Liu from Jiaoxi, often feels tired and breathless. Because of his busy schedule, he has time to take time off to see a doctor. He uses Luodong Pok Oi Hospital to visit a clinic in a community clinic. Seek medical attention, doctors found abnormalities, immediately scheduled to return to the hospital for cardiac ultrasound and 24-hour electrocardiogram examination, found that Mr. Liu vascular stenosis, emergency treatment, successfully prevent myocardial infarction, it is the best example of the effect of graded medical treatment .

laennecVice President Lu Jinde pointed out that grading medical treatment simplifies and improves the referral process for the public, and has established a two-way referral information platform to provide pre-registration referral number, patient movement query, physician expertise introduction, referral reply singular line through information system integration requirements. Inquiries and other functions, the number of referral services in 107 years has increased by 20% compared with last year. It shows that in cooperation, communication and understanding, everyone has taken a solid step together.