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北京医疗机构“扩容” 朝阳医院常营院区3月底试运行******url:https://m.gmw.cn/2023-01/07/content_1303247357.htm,id:1303247357

　　中新网北京1月7日电(徐婧杜燕)记者从2023年北京市朝阳区两会获悉，目前朝阳医院常营院区主体竣工，增设床位1000张，计划今年3月底投入试运行。该区今年还将加快推进北京中医医院新院区项目，推进国家中西医结合医学中心来广营院区和嘉会国际医院的建设。

　　当前，北京疫情防控工作仍处在关键时期，朝阳区构建从社区医院到三级医院的分级诊疗体系，实现重症去三甲，康复在社区，让百姓在家门口享受到更好的医疗服务。该区在292家医疗机构开设了发热门诊(诊室)，为发热患者提供医疗服务。针对危急重症患者的就医需求加快推进急诊扩容增效，在有条件扩容的二、三级医院增加了5085平方米急诊区域，保障急危重症患者安全。

　　“朝阳医院、安贞医院、中日友好医院、垂杨柳医院作为四家牵头的医院，把四个片区内的一级、二级、三级医院和全区正在运行的200多个社区卫生服务机构连接起来，形成医联体单位，实现重症去三甲，康复在社区。”朝阳区卫健委相关负责人说，从三级医院转回社区进行输液治疗，在朝阳区各社区卫生服务中心都可实现，居民在三级医院完成检查、开药，在病情允许的情况下，即可携带药品返回社区进行后续输液治疗。

　　当社区卫生服务中心接诊遇到疑难重症、原有疾病加重或出现复杂变化时，可协调医联体单位开通绿色通道进行转诊；如患者在综合医院或专科医院治疗稳定后，可以转诊到社区卫生服务中心就近康复治疗。2022年1至11月，医联体内二三级医院下转患者28735人次，基层单位向二三级医院上转患者46805人次。

　　“2023年，我们将持续优化分级诊疗救治体系，确保发热门诊应开尽开，对急诊患者应接尽接、重症患者应治尽治，康复期患者应转尽转，并通过多种举措为脆弱人群提供医疗服务。”负责人说。

　　据介绍，朝阳医院常营院区现已主体竣工，计划2023年3月底投入试运行，将进一步缓解北京市东部地区百姓看病难题。朝阳医院常营院区设计总床位1000张，设有包括内、外、妇、儿科在内的全部学科的门诊、急诊急救以及住院部，并承担科研及教学任务。

　　同时，安贞东方医院也在建设进程中，建成后，将成为北京市以治疗心血管疾病为重点的三级甲等标准的非营利性综合医院，设置总床位800张，惠及周边40余万居民。

　　此外，朝阳区今年还将加快推进北京中医医院新院区项目，推进国家中西医结合医学中心来广营院区建设；不断完善现代化、国际化医疗体系，推进嘉会国际医院建设；引进国际化高水平运行管理团队，并通过多项措施推动辖区各级各类医疗机构开展国际化医疗服务。(完)

中新网评：美国众议长选举“连续剧”暴露美式民主痼疾******

　　中新网北京1月9日电(蒋鲤)在15轮投票表决后，美国众议院议长选举这场“连续剧”终于落下帷幕，众议院共和党领袖凯文•麦卡锡最终成功当选第55任美国众议院议长。这是美国国会过去164年来耗时最久的一次议长选举记录，将美国“对抗式民主”的弊端暴露无遗。

资料图：美国众议院共和党领袖麦卡锡。中新社记者沙晗汀摄

　　由于两党对立加剧、党派内斗、利益分配不均等因素，众议长选举陷入一场拉锯战。在此次众议长竞选中，美国民主党议员继续抱团，多轮投票中，一票不投麦卡锡，共和党右翼“强硬派”领头的约20人小团体也拒绝投票麦卡锡。

　　麦卡锡的当选之路一波三折，除了本人的“政治投机派”角色在国会不受欢迎外，与共和党内部政治分歧关系密切。

　　一方面，共和党党内反对者认为，麦卡锡对民主党态度过于软弱，无力对抗民主党控制的参议院和拜登政府，另一方面，因为共和党的多数优势微弱，党内一些影响力较小的派系的政治力量则被放大，有利于他们巩固自己的选票。

　　此外，党内反对者也认为，自己的选票没有换取更多利益，希望以此作为筹码换取麦卡锡更大的让步，比如让他们获得众议院重要委员会中的职务。

　　作为仅次于美国总统、副总统的政坛三号人物，众议院议长通常由众议院多数党领袖担任，选举几乎没有悬念。然而，麦卡锡此次为当选，不得不做出多个关键让步，其中可能包括恢复一项罢黜议长动议机制，使得众议长的权力被削弱，难以掌控众议院。

　　美国有线电视新闻网CNN称，麦卡锡在这场不合时宜的政治勒索中作出让步，这种绥靖政策只会让极端主义势力更加强大。

　　这场引发全世界围观的尴尬选举暴露出美国政治存在严重的对立和分化。在权力博弈思维的裹挟下，党派利益凌驾于国家和人民利益之上，美国两党相互拆台，陷入“为反对而反对”的无脑对垒。而即便是一党内，也会因为利益分配问题产生不同的小派系，相互对抗，选票变成了谋利益的工具。

　　从国会山骚乱到打破记历史记录的15轮众议长选举，“对抗式民主”让美国政治陷入瓶颈，长期对抗势必会让政客们丧失客观公正的判断能力，其政治阶层是否有能力治理国家也会引发质疑。

　　两党之争和党派内斗进一步放大了美国政治体制弊病，美国所谓的“民主”形象，让全世界大跌眼镜。鼓吹以选民利益为先的美式选举，变成了政客们利益置换的游戏，进一步彰显出美国“民主政治”日渐失能，不断极化的党争已使美国政治制度陷入死循环。

　　House speaker election reveals deep-rooted problems in U.S. democracy

　　(ECNS) -- The Republican leader Kevin McCarthy was elected as the 55th speaker of the U.S. House of Representatives after 15 ballots. As the most grueling House speaker election in the past 164 years, the election has highlighted the defects of the country’s "confrontational democracy".

　　The election once reached a stalemate due to intense partisan strife, inner-party struggle among the Republicans, uneven distribution of interests, and more. Democratic Party members forged a close alliance, refusing to vote for McCarthy, while about 20 Republicans also declined to cast ballots for the GOP leader.

　　Except for his unpopular role as a "political speculator" in Congress, McCarthy’s hard-won election can be attributed to turmoil within the Republican Party.

　　On the one hand, opponents in the Republican Party believe that the GOP leader's attitude toward the Democrats is too weak to confront the Senate controlled by Democrats and the Biden administration.

　　On the other hand, the political power of some less influential factions in the Republican Party has been amplified due to the Party’s weak majority advantage in the House of Representatives, which is conducive to consolidating their ticket warehouses.

　　Meanwhile, these opponents believe that their votes failed to win them more benefits, hoping to use this as a bargaining chip for McCarthy's further concessions, such as getting them positions in important House Committees.

　　As the third political figure after the President and Vice President of the U.S., the speaker, by tradition, is the head of the majority party in the House of Representatives.

　　But McCarthy has made many concessions in order to bring the ultra conservatives along, involving what’s known as the “motion to vacate,” a mechanism by which members can force a vote to depose the speaker. The reported concessions will empower individual members at the expense of McCarthy’s sway as speaker.

　　CNN thought the concessions he made during this unseemly political shakedown would only make the extremist faction more powerful.

　　This embarrassing election, which has drawn global attention, exposed the serious opposition and polarization in American politics. Both Democrats and Republicans put their interests before that of the country and its people, attacking and opposing each other irrationally.

　　Besides, different factions arise within a single party and confront each other because of the distribution of interests. Votes have become a tool to win more benefits.

　　From Capitol riots to the House Speaker election with record-breaking ballots, "confrontational democracy" has become a bottleneck of American politics. Long-term confrontation will surely impede politicians to think objectively and fairly while their capacity of governing the country will also raise doubts among the public.

　　Both parties’ struggle and infighting among the Republicans have further amplified the defects of the American political system, with its "democratic" image shocking the world.

　　The U.S.-style election, which advocates putting voters' interests first, has become a game of interest exchange among politicians. In addition, it further demonstrates the malfunction of American "democratic politics" and the constantly polarized party struggle that has trapped the American political system into an infinite cycle.