分级诊疗制度框架下医院感染防控策略分析
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摘要
基于分级诊疗实践的医院感染防控正逐渐成为热点问题。在分析具有中国特色分级诊疗制度特点的基础上,认为医疗服务体系整体医院感染风险正在发生变化,二级以下医院和基层医疗机构医院感染风险增大,应重视"非传统"医院感染风险。并提出:应将医院感染防控概念的树立和能力提升纳入分级诊疗制度建设之中,促进医院感染防控理念在分级诊疗推进过程中的转化,以及围绕实践推动感染防控重点工作的落实等。
The prevention and control of nosocomial infection based on the practice of hierarchical diagnosis and treatment is gradually becoming a hot issue.On the basis of analyzing the characteristics of the hierarchical diagnosis and treatment system with Chinese characteristics,it is considered that the overall nosocomial infection risk of the medical service system changes,and the risk of infection increases in hospitals below the second level and the hospitals at the primary level,and the risk of"non-traditional"hospital infections should be emphasized.It is proposed that the establishment of the concept of hospital infection prevention and control and the capacity improvement should be included in the construction of the hierarchical diagnosis and treatment system,to promote the transformation of the concept of hospital infection prevention and control in the process of hierarchical diagnosis and treatment,and to implement the key work of infection prevention and control around practice.
The prevention and control of nosocomial infection based on the practice of hierarchical diagnosis and treatment is gradually becoming a hot issue.On the basis of analyzing the characteristics of the hierarchical diagnosis and treatment system with Chinese characteristics,it is considered that the overall nosocomial infection risk of the medical service system changes,and the risk of infection increases in hospitals below the second level and the hospitals at the primary level,and the risk of"non-traditional"hospital infections should be emphasized.It is proposed that the establishment of the concept of hospital infection prevention and control and the capacity improvement should be included in the construction of the hierarchical diagnosis and treatment system,to promote the transformation of the concept of hospital infection prevention and control in the process of hierarchical diagnosis and treatment,and to implement the key work of infection prevention and control around practice.
引文
[1]付强.分级诊疗要更接地气更有实效[J].中国卫生,2018,39(3):85.
[2]方少华.全民医保背景下实现分级诊疗的路径研究[J].卫生经济研究,2014(1):18-21.
[3]顾昕.新医改成功的组织保障:从管办分离到大部制[J].中国医院院长,2008(22):55-61.
[4]付强.完善新时期医院感染防控顶层机制设计[J].华西医学,2018,33(3):235-239.
[2]方少华.全民医保背景下实现分级诊疗的路径研究[J].卫生经济研究,2014(1):18-21.
[3]顾昕.新医改成功的组织保障:从管办分离到大部制[J].中国医院院长,2008(22):55-61.
[4]付强.完善新时期医院感染防控顶层机制设计[J].华西医学,2018,33(3):235-239.