{"text_format":"3","workbook":"xlsx","n_sheets":1,"sheets":["征求意见稿"],"not_rendered":{"defined_names":2},"read":"whole","date_system":"1900"}

{"sheet":"征求意见稿","index":0,"n_rows":58,"n_cols":5,"rows_kept":58,"merged":[[0,0,0,1],[1,0,1,4],[2,0,3,0],[2,1,3,1],[2,2,2,3],[2,4,3,4],[2,5,3,5],[5,0,6,0],[5,2,6,2],[5,3,6,3],[15,0,16,0],[15,2,16,2],[15,3,16,3],[47,3,52,3]]}
["附件2"]
["河源市基本医疗保险门诊特定病种医疗机构确认诊疗资格要求"]
["序号","疾病名称","审核确认资格要求",null,"类别"]
[null,null,"同时提供确认及诊疗的医疗机构\n（需同时符合）","仅提供诊疗的医疗机构"]
[1,"慢性阻塞性肺疾病","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有内科或全科医疗科诊疗科目。\n4.能开展肺功能检查项目。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[2,"严重高血压病","1.具有内科或全科医疗科诊疗科目。\n2.社区卫生服务中心（乡镇卫生院）或二级及以上医疗机构。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[null,"普通高血压病",null,null,"一类"]
[3,"冠心病","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有内科或全科医疗科诊疗科目。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[4,"慢性心功能不全","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有内科或全科医疗科诊疗科目。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[5,"肝硬化（失代偿期）","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有内科诊疗科目。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[6,"慢性乙型肝炎","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有传染科的诊疗项目。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[7,"丙型肝炎（HCV RNA阳性）","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有传染科的诊疗项目。","/","二类"]
[8,"慢性肾功能不全（非透析治疗）","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有内科诊疗科目。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[9,"肾脏移植术后抗排异治疗","1.提供门诊及住院医保服务。\n2.医疗机构级别为三级。\n3.具有内科或外科诊疗科目。","/","二类"]
[10,"造血干细胞移植后抗排异治疗","1.提供门诊及住院医保服务。\n2.医疗机构级别为三级。\n3.具有内科或外科诊疗科目。","/","二类"]
[11,"普通型糖尿病","1.具有内科或全科医疗科诊疗科目。\n2.社区卫生服务中心（乡镇卫生院）或二级及以上医疗机构。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[null,"重型糖尿病",null,null,"一类"]
[12,"类风湿关节炎","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有免疫学诊疗科目。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[13,"恶性肿瘤（非放化疗）","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级甲等医院或三级医疗机构。\n3.具有肿瘤科诊疗科目（妇女儿童类恶性肿瘤可由相关专科医院确认和治疗）。","具有内科、全科医疗科或儿科诊疗科目。","一类"]
[14,"地中海贫血（海洋性贫血或珠蛋白生成障碍性贫血）","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有血液内科或小儿血液病专业诊疗科目。","/","二类"]
[15,"再生障碍性贫血","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有血液内科或小儿血液病专业诊疗科目。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[16,"血友病","1.提供门诊及住院医保服务。\n2.医疗机构级别为三级。\n3.具有血液内科或小儿血液病专业诊疗科目。","/","二类"]
[17,"帕金森病","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有神经内科或神经外科诊疗科目。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[18,"癫痫","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有神经内科或神经外科或小儿神经病学诊疗科目。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[19,"脑血管疾病后遗症","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有内科或全科医疗科诊疗科目。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[20,"艾滋病","广东省艾滋病治疗定点医院。","/","一类"]
[21,"活动性肺结核","结核病定点医院。","结核病定点医院。","一类"]
[22,"耐多药肺结核","耐多药结核病定点医院。","耐多药结核病定点医院。","一类"]
[23,"系统性红斑狼疮","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有免疫学或皮肤科诊疗科目。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[24,"心脏移植术后抗排异治疗","1.提供门诊及住院医保服务。\n2.医疗机构级别为三级。\n3.具有内科或外科诊疗科目。","/","二类"]
[25,"肝脏移植术后抗排异治疗","1.提供门诊及住院医保服务。\n2.医疗机构级别为三级。\n3.具有内科或外科诊疗科目。","/","二类"]
[26,"肺脏移植术后抗排异治疗","1.提供门诊及住院医保服务。\n2.医疗机构级别为三级。\n3.具有内科或外科诊疗科目。","/","二类"]
[27,"肺动脉高压","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有呼吸内科诊疗科目。","具有内科、全科医疗科或中医科诊疗科目。","二类"]
[28,"支气管哮喘","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有呼吸内科诊疗科目。\n4.可以开展肺功能检查项目。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[29,"骨髓纤维化","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有血液内科或小儿血液病专业诊疗科目。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[30,"骨髓增生异常综合症","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有血液内科或小儿血液病专业诊疗科目。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[31,"C型尼曼匹克病","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有神经内科或儿科诊疗科目。","具有内科、全科医疗科或儿科诊疗科目。","二类"]
[32,"肢端肥大症","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有内分泌科诊疗科目。","具有内科、全科医疗科或中医科诊疗科目。","二类"]
[33,"多发性硬化","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有神经内科诊疗科目。","具有内科、全科医疗科或儿科诊疗科目。","二类"]
[34,"强直性脊柱炎","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有免疫学或骨科诊疗科目。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[35,"银屑病","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有皮肤科诊疗科目。","具有内科、全科医疗科或皮肤科诊疗科目。","一类"]
[36,"克罗恩病","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有消化内科或小儿消化专业诊疗科目。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[37,"溃疡性结肠炎","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有消化内科或小儿消化专业诊疗科目。","具有内科、全科医疗科或中医科诊疗科目。","一类"]
[38,"湿性年龄相关性黄斑变性","1.提供门诊及住院医保服务。\n2.具有眼科诊疗科目的三级综合医疗机构或眼科专科医疗机构。","具有眼科诊疗科目。","二类"]
[39,"糖尿病黄斑水肿","1.提供门诊及住院医保服务。\n3.具有眼科诊疗科目的三级综合医疗机构或眼科专科医疗机构。","具有眼科诊疗科目。","二类"]
[40,"脉络膜新生血管","1.提供门诊及住院医保服务。\n4.具有眼科诊疗科目的三级综合医疗机构或眼科专科医疗机构。","具有眼科诊疗科目。","二类"]
[41,"视网膜静脉阻塞所致黄斑水肿","1.提供门诊及住院医保服务。\n5.具有眼科诊疗科目的三级综合医疗机构或眼科专科医疗机构。","具有眼科诊疗科目。","二类"]
[42,"精神分裂症","1.提供住院医保服务（三级定点医院除外）。\n2.二级及以上精神病专科医疗机构或具有精神科诊疗科目的二级及以上非专科医疗机构。","具有精神科诊疗科目。","一类"]
[43,"分裂情感性障碍","1.提供住院医保服务（三级定点医院除外）。\n2.二级及以上精神病专科医疗机构或具有精神科诊疗科目的二级及以上非专科医疗机构。",null,"一类"]
[44,"持久的妄想性障碍\n（偏执性精神病）","1.提供住院医保服务（三级定点医院除外）。\n2.二级及以上精神病专科医疗机构或具有精神科诊疗科目的二级及以上非专科医疗机构。",null,"一类"]
[45,"双相（情感）障碍","1.提供住院医保服务（三级定点医院除外）。\n2.二级及以上精神病专科医疗机构或具有精神科诊疗科目的二级及以上非专科医疗机构。",null,"一类"]
[46,"癫痫所致精神障碍","1.提供住院医保服务（三级定点医院除外）。\n2.二级及以上精神病专科医疗机构或具有精神科诊疗科目的二级及以上非专科医疗机构。",null,"一类"]
[47,"精神发育迟滞伴发精神障碍","1.提供住院医保服务（三级定点医院除外）。\n2.二级及以上精神病专科医疗机构或具有精神科诊疗科目的二级及以上非专科医疗机构。",null,"一类"]
[48,"慢性肾功能不全（血透治疗）","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有肾病学专业（血液透析技术）","具有肾病学专业（血液透析技术）。","二类"]
[49,"慢性肾功能不全（腹透治疗）","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级及以上。\n3.具有肾病学专业（血液透析技术）","具有肾病学专业（血液透析技术）。","二类"]
[50,"恶性肿瘤（化疗，含生物靶向药物、内分泌治疗）","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级甲等医院或三级医疗机构。\n3.具有肿瘤科诊疗科目（妇女儿童类恶性肿瘤可由相关专科医院确认和治疗）。","/","二类"]
[51,"恶性肿瘤（放疗）","1.提供门诊及住院医保服务。\n2.医疗机构级别为二级甲等医院或三级医疗机构。\n3.具有放射治疗诊疗科目。","/","二类"]
[52,"新冠肺炎出院患者门诊康复治疗","新冠肺炎康复定点医院。","新冠肺炎康复定点医院。","一类"]