广东省卫健委发文明确：2025年底，二级以上公立医院须全覆盖-政策解读-医院绩效咨询,医院绩效管理,医院管理咨询 -九鼎医院管理顾问

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行业新闻

广东省卫健委发文明确：2025年底，二级以上公立医院须全覆盖

提交者：发表时间：2025-7-7点击次数：796来源:广东省卫健委

近日，广东省卫健委发布《广东省“儿科医疗服务年”行动实施方案（2025-2027年）》（下称《方案》），安排开展为期3年的专项行动。

《方案》提出，2025年底，实现全省所有二、三级公立综合医院均能提供儿科服务；2027年底，儿童常见病、多发病基本在县（市、区）域内解决、重大疾病在市域内得到救治。

根据《方案》，广东省“儿科医疗服务年”行动将从扩容儿科服务资源、加强儿科医师队伍建设、深化儿科医联体建设、优化儿童就医体验、提升儿童重大疾病诊疗能力、应对季节性就诊高峰等6个方面重点发力。

（一）扩容儿科服务资源1.强化儿科建设建强省、市两级儿童医院，支持城区常住人口超过100万的城市根据需要建设1所儿童医院或综合医院儿科病区。二、三级公立综合医院、妇幼保健院和中医医院均应按照有关标准配备相应设施设备，提供儿科服务。有条件的应根据所在辖区内儿童就医需求，科学规划设置儿科急诊、门诊和病房，提升儿科患者容纳量。2.夯实基层儿科服务实施“优质服务基层行”活动，强化基层医疗卫生机构医生儿童常见病诊疗培训，做实0～6岁儿童健康管理服务，通过儿科、全科、中医科等科室医务人员提供儿科诊疗服务。到2025年底，提供儿科常见病诊疗服务的乡镇卫生院和社区卫生服务中心比例不低于90%。基层医疗卫生机构要创造条件设置独立儿科诊室或诊区，达到服务能力推荐标准的乡镇卫生院、社区卫生服务中心要率先建成独立的儿科诊室。3.提升儿科危急重症救治能力以国家儿童区域医疗中心、省市两级儿科专业医疗质量控制中心为依托，推进危重症儿童和新生儿区域救治中心建设，持续提升危重症儿童和新生儿的早期识别、转诊、救治等综合能力。强化各级危重症儿童和新生儿救治中心规范化管理，实现省—市—县（市、区）三级救治网络无缝衔接。推广多学科诊疗模式，探索在具备条件的儿童专科医院开展针对儿童期重大疾病的成年阶段延续治疗。4.推进新生儿疾病筛查推动新生儿疾病筛查中心建设，健全新生儿疾病筛查体系。积极开展新生儿疾病筛查社会宣传和健康教育，规范筛查与诊疗流程，保障筛—诊—治全链条服务运行顺畅，持续提高新生儿疾病筛查率、诊断率、治疗率。完善个案监测体系，推进对新生儿疾病筛查个案信息化管理。

（二）深化儿科医联体建设1.构建网络化服务体系各地市以具有儿童危重症诊疗服务能力的市级儿童医院或综合医院、妇幼保健院、中医医院儿科为龙头，组织辖区内儿科医疗资源组建儿科医联体，分区包片覆盖网格化布局的城市医疗集团。县级医院要依托县域医共体帮扶指导辖区乡镇卫生院、社区卫生服务中心提供儿科服务。到2027年底，以地级市和县（市）为单位，实现儿科医联体全覆盖。2.强化分级诊疗强化医疗机构间的儿科协作，明确医联体成员单位功能定位，儿童医院和三级医院聚焦危重症治疗、教学、科研。县级医院重点加强儿科常见病、多发病的规范化诊疗和急救处置，基层医疗卫生机构重点承担儿科疾病预防保健、基本医疗服务等，为辖区内儿童提供疾病预防、诊断、治疗、营养、康复、护理、健康管理等一体化、连续性医疗卫生服务。3.深化医联体建设内涵医联体内的三级医院要向基层医疗卫生机构提供远程医疗、远程教学、远程培训等服务，制定适宜技术规范和诊疗指南。面向基层每年推广2～3项适宜技术，以及规范4～5个常见病单病种诊疗流程，每年开展2～3期儿科危急重症及ICU急救技术培训，提高基层儿童危重病救治能力。

医院绩效咨询

（三）优化儿童就医体验1.建设儿童友好医院提供儿童医疗保健服务的医院要按照《儿童友好医院建设指南》要求，积极开展儿童友好医院建设。统筹优化门诊布局，机构建筑物外部设计和内部装饰融入趣味化设计元素，采用多元化色彩表达，在院区内设置儿童游戏角落和阅读空间，满足儿童特点与需求，就诊区域配备母婴室、婴儿整理台、儿童座椅、家庭厕所等，完善住院病房设置，强化儿童安全防护，打造安全舒适环境。2.完善全流程服务二级以上儿童友好医院要建立0～3岁危急重症儿童患者24小时救治绿色通道，落实“先救治后缴费”，完善一体化服务，确保各环节间的有效衔接，保证救治不间断。医院针对儿科疾病特点，开设儿科特色门诊。引导医联体内医院儿科医师参与家庭医生团队，提高儿童签约服务覆盖率。3.推广智慧医疗服务强化智慧医院建设，发挥人工智能等信息化技术作用，优化儿科服务流程，提高儿科预约诊疗率和分时段预约精准度。提供智能就医咨询、门诊分诊、智能陪诊等服务，帮助患儿顺畅就医。推动全省基层医疗卫生机构逐步应用人工智能辅助诊断技术。

（四）提升儿童重大疾病诊疗能力1.构建协作网络依托国家儿童区域医疗中心，围绕儿童重症、肿瘤、血液病、罕见病等重大疾病诊疗需求，及时完善定点医院并组建诊疗协作组，健全省级儿童重大疾病协作网络。诊疗协作组要以“数智化”管理为导向，完善单病种诊疗指南、临床路径等，加强儿童重大疾病救治病例登记管理和质控评价。各地市要牵头构建儿童重大疾病市级诊疗协作网络，提高儿童重大疾病识别、诊疗水平。2027年底前实现省市儿童重大疾病诊疗协作网全覆盖。2.加强中西医结合积极推广中医药在儿童保健、治未病、常见病和多发病诊疗中的应用，加深中西医协作。二级以上中医院增设儿科中医门诊或中西医联合门诊，推广小儿推拿、穴位贴敷等适宜技术。2027年底前所有地市开展适宜技术覆盖，0～36个月儿童中医药健康率达到国家基本公共卫生服务项目的绩效目标要求。

（五）加强儿科医师队伍建设1.加大儿科人才培养力度医教协同推进儿科医学人才教育，推动普通高校举办儿科学本科专业教育，适当扩大儿科学专业研究生培养规模，每年全省培养儿科专业住院医师规范化培训学员500人以上。继续推进农村订单定向医学生免费培养工作，为基层医疗卫生机构招收培养从事儿科等各科常见疾病诊疗服务的全科医学人才。2.推动儿科诊疗服务能力培训工作加强以全科医生为重点的基层卫生健康人才培养培训，在推进全科医生培训项目过程中，加强儿科诊疗相关培训，粤东粤西粤北地区每年培养培训全科医生2000人以上。依托省、市儿科质控中心，规范开展执业（助理）医师儿科服务能力培训，注重培养临床诊疗能力，各级各类医疗机构要对经培训考核合格且符合条件的医师，在原专科执业范围的基础上增加儿科执业范围。县及县以下医疗卫生机构对符合条件的医师首次注册时加注儿科执业范围。3.完善激励机制医院结合儿科诊疗特点，优化内部薪酬分配，保障儿科医务人员待遇。在岗位设置上对儿科专业给予倾斜，儿科中、高级岗位可根据现有在岗人员实际情况动态提升结构比例。把相关地区的儿科专业纳入基层卫生紧缺专业技术人才副高级职称认定范围，提高岗位吸引力。公立医院儿科医师薪酬水平不低于本院临床同岗医师薪酬平均水平。

（六）应对季节性就诊高峰1.动态调配资源医疗机构要制定儿童就诊高峰期应对预案，在学生假期和季节性疾病高发期，建立平急转换机制，有效应对儿童季节性疾病就诊高峰。基层医疗卫生机构儿科、发热门诊应开尽开，并完善儿童输液、雾化吸入等服务条件。必要时增设夜间门诊和临时输液区，缩短就诊和治疗等候时间，候诊时间超2小时应启动应急机制。强化加注儿科执业范围的医师儿科专业培训，提高儿科季节性疾病、常见病、多发病的临床诊疗能力，在儿童就诊高发期及时充实儿科医疗力量。2.强化数据监测在儿童季节性疾病高发期，二级以上公立医院要普遍建立患儿就诊等候时间监测机制，开展等候时长预警，及时调配人员支援保障。以广州、深圳为单位建立儿科就诊数据实时监测平台，各地级以上市卫生健康行政部门逐步统一数据标准，实时监测就诊数据，每周发布儿科资源动态，引导错峰就诊。3.加强医防融合针对重点传染病，各级疾控部门要定期通报监测信息，及时发布健康风险提示。各级卫生健康行政部门要统筹床位资源，储备可转换床位，在儿科季节性疾病高峰期能迅速调用床位，确保及时收治。指导基层医疗机构药品储备、人员培训，提前部署应对措施，严格落实《医疗机构传染病防控责任清单》。

武汉九鼎医院管理顾问是一家集医院发展战略、医院文化、医院人力资源、医院绩效管理等咨询模块为一体的医院管理咨询公司。如有咨询需求请拨打热线：027-82444583。

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PHP Extension	20131226
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date/time support	enabled
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CommonProgramFiles(x86)	C:\Program Files (x86)\Common Files
CommonProgramW6432	C:\Program Files\Common Files
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LOCALAPPDATA	C:\Windows\system32\config\systemprofile\AppData\Local
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OS	Windows_NT
Path	C:\Windows\system32;C:\Windows;C:\Windows\System32\Wbem;C:\Windows\System32\WindowsPowerShell\v1.0\;D:\Program Files\Microsoft SQL Server\110\DTS\Binn\;D:\Program Files (x86)\Microsoft SQL Server\110\Tools\Binn\;D:\Program Files\Microsoft SQL Server\110\Tools\Binn\;D:\Program Files (x86)\Microsoft SQL Server\110\Tools\Binn\ManagementStudio\;C:\Program Files (x86)\Microsoft Visual Studio 10.0\Common7\IDE\PrivateAssemblies\;D:\Program Files (x86)\Microsoft SQL Server\110\DTS\Binn\;C:\sslctlw;C:\Windows\system32\config\systemprofile\AppData\Local\Microsoft\WindowsApps
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TMP	C:\Windows\TEMP
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_SERVER["SystemRoot"]	C:\Windows
_SERVER["TEMP"]	C:\Windows\TEMP
_SERVER["TMP"]	C:\Windows\TEMP
_SERVER["USERDOMAIN"]	WORKGROUP
_SERVER["USERNAME"]	iZ4r4b31413jd2Z$
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_SERVER["windir"]	C:\Windows
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_SERVER["URL"]	/admin.php
_SERVER["SERVER_SOFTWARE"]	Microsoft-IIS/10.0
_SERVER["SERVER_PROTOCOL"]	HTTP/1.1
_SERVER["SERVER_PORT_SECURE"]	1
_SERVER["SERVER_PORT"]	443
_SERVER["SERVER_NAME"]	www.yyjg.net
_SERVER["SCRIPT_NAME"]	/admin.php
_SERVER["SCRIPT_FILENAME"]	D:\wwwroot\yyjg.net\wwwroot\admin.php
_SERVER["REQUEST_URI"]	/admin.php/index/view/aid/14971.html
_SERVER["REQUEST_METHOD"]	GET
_SERVER["REMOTE_USER"]	no value
_SERVER["REMOTE_PORT"]	58817
_SERVER["REMOTE_HOST"]	216.73.216.49
_SERVER["REMOTE_ADDR"]	216.73.216.49
_SERVER["QUERY_STRING"]	no value
_SERVER["PATH_TRANSLATED"]	D:\wwwroot\yyjg.net\wwwroot\admin.php\index\view\aid\14971.html
_SERVER["PATH_INFO"]	/index/view/aid/14971
_SERVER["LOGON_USER"]	no value
_SERVER["LOCAL_ADDR"]	172.16.121.93
_SERVER["INSTANCE_META_PATH"]	/LM/W3SVC/1
_SERVER["INSTANCE_NAME"]	WWWROOT
_SERVER["INSTANCE_ID"]	1
_SERVER["HTTPS_SERVER_SUBJECT"]	CN=www.yyjg.net
_SERVER["HTTPS_SERVER_ISSUER"]	C=PL, O=Asseco Data Systems S.A., CN=Certum DV TLS G2 R39 CA
_SERVER["HTTPS_SECRETKEYSIZE"]	2048
_SERVER["HTTPS_KEYSIZE"]	256
_SERVER["HTTPS"]	on
_SERVER["GATEWAY_INTERFACE"]	CGI/1.1
_SERVER["DOCUMENT_ROOT"]	D:\wwwroot\yyjg.net\wwwroot
_SERVER["CONTENT_TYPE"]	no value
_SERVER["CONTENT_LENGTH"]	0
_SERVER["CERT_SUBJECT"]	no value
_SERVER["CERT_SERIALNUMBER"]	no value
_SERVER["CERT_ISSUER"]	no value
_SERVER["CERT_FLAGS"]	no value
_SERVER["CERT_COOKIE"]	no value
_SERVER["AUTH_USER"]	no value
_SERVER["AUTH_PASSWORD"]	no value
_SERVER["AUTH_TYPE"]	no value
_SERVER["APPL_PHYSICAL_PATH"]	D:\wwwroot\yyjg.net\wwwroot\
_SERVER["APPL_MD_PATH"]	/LM/W3SVC/1/ROOT
_SERVER["IIS_UrlRewriteModule"]	7.1.0871.0
_SERVER["HTTP_USER_AGENT"]	Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)
_SERVER["HTTP_HOST"]	www.yyjg.net
_SERVER["HTTP_COOKIE"]	PHPSESSID=t1t4elvjm47j0gf7rfp7cnhl87
_SERVER["HTTP_ACCEPT_ENCODING"]	gzip, br, zstd, deflate
_SERVER["HTTP_ACCEPT"]	/
_SERVER["HTTP_CONNECTION"]	close
_SERVER["FCGI_ROLE"]	RESPONDER
_SERVER["PHP_SELF"]	/admin.php/index/view/aid/14971.html
_SERVER["REQUEST_TIME_FLOAT"]	1789713423.0175
_SERVER["REQUEST_TIME"]	1789713423

PHP Authors
Contribution	Authors
Zend Scripting Language Engine	Andi Gutmans, Zeev Suraski, Stanislav Malyshev, Marcus Boerger, Dmitry Stogov, Xinchen Hui, Nikita Popov
Extension Module API	Andi Gutmans, Zeev Suraski, Andrei Zmievski
UNIX Build and Modularization	Stig Bakken, Sascha Schumann, Jani Taskinen
Windows Port	Shane Caraveo, Zeev Suraski, Wez Furlong, Pierre-Alain Joye, Anatol Belski
Server API (SAPI) Abstraction Layer	Andi Gutmans, Shane Caraveo, Zeev Suraski
Streams Abstraction Layer	Wez Furlong, Sara Golemon
PHP Data Objects Layer	Wez Furlong, Marcus Boerger, Sterling Hughes, George Schlossnagle, Ilia Alshanetsky
Output Handler	Zeev Suraski, Thies C. Arntzen, Marcus Boerger, Michael Wallner

SAPI Modules
Contribution	Authors
AOLserver	Sascha Schumann
Apache 1.3 (apache_hooks)	Rasmus Lerdorf, Zeev Suraski, Stig Bakken, David Sklar, George Schlossnagle, Lukas Schroeder
Apache 1.3	Rasmus Lerdorf, Zeev Suraski, Stig Bakken, David Sklar
Apache 2.0 Filter	Sascha Schumann, Aaron Bannert
Apache 2.0 Handler	Ian Holsman, Justin Erenkrantz (based on Apache 2.0 Filter code)
Caudium / Roxen	David Hedbor
CGI / FastCGI	Rasmus Lerdorf, Stig Bakken, Shane Caraveo, Dmitry Stogov
CLI	Edin Kadribasic, Marcus Boerger, Johannes Schlueter, Moriyoshi Koizumi, Xinchen Hui
Continuity	Alex Leigh (based on nsapi code)
Embed	Edin Kadribasic
FastCGI Process Manager	Andrei Nigmatulin, dreamcat4, Antony Dovgal, Jerome Loyet
ISAPI	Andi Gutmans, Zeev Suraski
litespeed	George Wang
NSAPI	Jayakumar Muthukumarasamy, Uwe Schindler
phpdbg	Felipe Pena, Joe Watkins, Bob Weinand
phttpd	Thies C. Arntzen
pi3web	Holger Zimmermann
Sendmail Milter	Harald Radi
thttpd	Sascha Schumann
tux	Sascha Schumann
WebJames	Alex Waugh

Module Authors
Module	Authors
BC Math	Andi Gutmans
Bzip2	Sterling Hughes
Calendar	Shane Caraveo, Colin Viebrock, Hartmut Holzgraefe, Wez Furlong
COM and .Net	Wez Furlong
ctype	Hartmut Holzgraefe
cURL	Sterling Hughes
Date/Time Support	Derick Rethans
DB-LIB (MS SQL, Sybase)	Wez Furlong, Frank M. Kromann
DBA	Sascha Schumann, Marcus Boerger
DOM	Christian Stocker, Rob Richards, Marcus Boerger
enchant	Pierre-Alain Joye, Ilia Alshanetsky
ereg	Rasmus Lerdorf, Jim Winstead, Jaakko Hyvätti
EXIF	Rasmus Lerdorf, Marcus Boerger
fileinfo	Ilia Alshanetsky, Pierre Alain Joye, Scott MacVicar, Derick Rethans
Firebird driver for PDO	Ard Biesheuvel
FTP	Stefan Esser, Andrew Skalski
GD imaging	Rasmus Lerdorf, Stig Bakken, Jim Winstead, Jouni Ahto, Ilia Alshanetsky, Pierre-Alain Joye, Marcus Boerger
GetText	Alex Plotnick
GNU GMP support	Stanislav Malyshev
Iconv	Rui Hirokawa, Stig Bakken, Moriyoshi Koizumi
IMAP	Rex Logan, Mark Musone, Brian Wang, Kaj-Michael Lang, Antoni Pamies Olive, Rasmus Lerdorf, Andrew Skalski, Chuck Hagenbuch, Daniel R Kalowsky
Input Filter	Rasmus Lerdorf, Derick Rethans, Pierre-Alain Joye, Ilia Alshanetsky
InterBase	Jouni Ahto, Andrew Avdeev, Ard Biesheuvel
Internationalization	Ed Batutis, Vladimir Iordanov, Dmitry Lakhtyuk, Stanislav Malyshev, Vadim Savchuk, Kirti Velankar
JSON	Omar Kilani, Scott MacVicar
LDAP	Amitay Isaacs, Eric Warnke, Rasmus Lerdorf, Gerrit Thomson, Stig Venaas
LIBXML	Christian Stocker, Rob Richards, Marcus Boerger, Wez Furlong, Shane Caraveo
mcrypt	Sascha Schumann, Derick Rethans
MS SQL	Frank M. Kromann
Multibyte String Functions	Tsukada Takuya, Rui Hirokawa
MySQL driver for PDO	George Schlossnagle, Wez Furlong, Ilia Alshanetsky, Johannes Schlueter
MySQL	Zeev Suraski, Zak Greant, Georg Richter, Andrey Hristov
MySQLi	Zak Greant, Georg Richter, Andrey Hristov, Ulf Wendel
MySQLnd	Andrey Hristov, Ulf Wendel, Georg Richter, Johannes Schlüter
OCI8	Stig Bakken, Thies C. Arntzen, Andy Sautins, David Benson, Maxim Maletsky, Harald Radi, Antony Dovgal, Andi Gutmans, Wez Furlong, Christopher Jones, Oracle Corporation
ODBC driver for PDO	Wez Furlong
ODBC	Stig Bakken, Andreas Karajannis, Frank M. Kromann, Daniel R. Kalowsky
OpenSSL	Stig Venaas, Wez Furlong, Sascha Kettler, Scott MacVicar
Oracle (OCI) driver for PDO	Wez Furlong
pcntl	Jason Greene, Arnaud Le Blanc
Perl Compatible Regexps	Andrei Zmievski
PHP Archive	Gregory Beaver, Marcus Boerger
PHP Data Objects	Wez Furlong, Marcus Boerger, Sterling Hughes, George Schlossnagle, Ilia Alshanetsky
PHP hash	Sara Golemon, Rasmus Lerdorf, Stefan Esser, Michael Wallner, Scott MacVicar
Posix	Kristian Koehntopp
PostgreSQL driver for PDO	Edin Kadribasic, Ilia Alshanetsky
PostgreSQL	Jouni Ahto, Zeev Suraski, Yasuo Ohgaki, Chris Kings-Lynne
Pspell	Vlad Krupin
Readline	Thies C. Arntzen
Recode	Kristian Koehntopp
Reflection	Marcus Boerger, Timm Friebe, George Schlossnagle, Andrei Zmievski, Johannes Schlueter
Sessions	Sascha Schumann, Andrei Zmievski
Shared Memory Operations	Slava Poliakov, Ilia Alshanetsky
SimpleXML	Sterling Hughes, Marcus Boerger, Rob Richards
SNMP	Rasmus Lerdorf, Harrie Hazewinkel, Mike Jackson, Steven Lawrance, Johann Hanne, Boris Lytochkin
SOAP	Brad Lafountain, Shane Caraveo, Dmitry Stogov
Sockets	Chris Vandomelen, Sterling Hughes, Daniel Beulshausen, Jason Greene
SPL	Marcus Boerger, Etienne Kneuss
SQLite 3.x driver for PDO	Wez Furlong
SQLite3	Scott MacVicar, Ilia Alshanetsky, Brad Dewar
Sybase-CT	Zeev Suraski, Tom May, Timm Friebe
System V Message based IPC	Wez Furlong
System V Semaphores	Tom May
System V Shared Memory	Christian Cartus
tidy	John Coggeshall, Ilia Alshanetsky
tokenizer	Andrei Zmievski, Johannes Schlueter
WDDX	Andrei Zmievski
XML	Stig Bakken, Thies C. Arntzen, Sterling Hughes
XMLReader	Rob Richards
xmlrpc	Dan Libby
XMLWriter	Rob Richards, Pierre-Alain Joye
XSL	Christian Stocker, Rob Richards
Zip	Pierre-Alain Joye, Remi Collet
Zlib	Rasmus Lerdorf, Stefan Roehrich, Zeev Suraski, Jade Nicoletti, Michael Wallner

PHP Documentation
Authors	Mehdi Achour, Friedhelm Betz, Antony Dovgal, Nuno Lopes, Hannes Magnusson, Georg Richter, Damien Seguy, Jakub Vrana, Adam Harvey, Peter Cowburn
Editor	Philip Olson
User Note Maintainers	Daniel P. Brown, Thiago Henrique Pojda
Other Contributors	Previously active authors, editors and other contributors are listed in the manual.

Websites and Infrastructure team
PHP Websites Team	Rasmus Lerdorf, Hannes Magnusson, Philip Olson, Lukas Kahwe Smith, Pierre-Alain Joye, Kalle Sommer Nielsen, Peter Cowburn, Adam Harvey, Ferenc Kovacs, Levi Morrison
Event Maintainers	Damien Seguy, Daniel P. Brown
Network Infrastructure	Daniel P. Brown
Windows Infrastructure	Alex Schoenmaker