上海市基层社区家庭病床工作量调查与分析
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摘要
目的了解2017年上海市基层社区家庭病床工作量现状,为完善服务模式提供依据。方法向全市16个区241家社区卫生服务中心发放调查问卷,对家庭病床主要收治患者情况及家庭病床提供服务现状进行调查。结果16个区家庭病床平均建床率为4.85‰,60岁以上老年患者占95.34%;平均每家社区家庭病床患者住床总床日数29 467天,家床服务总次数3 211次。全市家床病种前3位分别为心血管疾病(60.43%)、中风(22.90%)、老慢支(3.78%)。撤床患者转归中,治愈、稳定、好转患者比例为89.47%。中医家庭病床占家庭病床总数的13.9%。结论相关部门应从以下方面努力:注重医养结合,充分发挥家庭病床作用;注重签约服务,提升家庭病床服务品质;注重中医药服务,加大家庭病床中医药应用力度;注重政策倾斜,提高家庭病床绩效管理水平。
Objective To investigate the current situation of family health care workload in communities in Shanghai in 2017,and to provide evidence for further improving the service model. Methods A questionnaire survey was used among 241 community health service institutions in 16 districts of the city to investigate the situation of the patients receiving and providing services in family health care. Results The average rate of bed construction in 16 districts was 4.85‰,and 95.34%of the patients were over 60 years old.The average number of bed days for family health care patients in each community health service center was 29 467 days,and the total number of home services was 3 211 times.The top three home health care diseases were cardiovascular disease(60.43%),stroke(22.90%)and chronic bronchitis(3.78%).The proportion of cured,stabilized and improved patients was 89.47%.The traditional Chinese medicine accounted for 13.9%of the total number of family beds. Conclusion The relevant departments should make efforts in the following aspects:paying attention to the combination of medical care and nursing so to give full play to the role of family bed so paying attention to contract service,to improve the quality of family hospital bed service;focusing on traditional Chinese medicine service to increase the use of traditional Chinese medicine in family hospital beds;giving priority to preferential policies to improve the performance management of family health care.
Objective To investigate the current situation of family health care workload in communities in Shanghai in 2017,and to provide evidence for further improving the service model. Methods A questionnaire survey was used among 241 community health service institutions in 16 districts of the city to investigate the situation of the patients receiving and providing services in family health care. Results The average rate of bed construction in 16 districts was 4.85‰,and 95.34%of the patients were over 60 years old.The average number of bed days for family health care patients in each community health service center was 29 467 days,and the total number of home services was 3 211 times.The top three home health care diseases were cardiovascular disease(60.43%),stroke(22.90%)and chronic bronchitis(3.78%).The proportion of cured,stabilized and improved patients was 89.47%.The traditional Chinese medicine accounted for 13.9%of the total number of family beds. Conclusion The relevant departments should make efforts in the following aspects:paying attention to the combination of medical care and nursing so to give full play to the role of family bed so paying attention to contract service,to improve the quality of family hospital bed service;focusing on traditional Chinese medicine service to increase the use of traditional Chinese medicine in family hospital beds;giving priority to preferential policies to improve the performance management of family health care.
引文
[1]上海市质量技术监督局,上海市卫生局.上海市地方标准家庭病床服务规范[Z].2010:6.
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[4]潘毅慧,朱晓健,曹海涛,等.上海市家庭病床服务现状SWOT分析及对策建议[J].中华全科医学,2015,13(7):1140-1142.
[5]上海市卫生局,上海市发展和改革委员会,上海市人力资源和社会保障局,等.关于本市全面推广家庭医生制度的指导意见[Z].2013.
[6]国务院.卫生事业发展“十二五”规划[Z].2012.
[7]张冬妮,艾育华,孙瑶,等.构建居家老年健康管理系统的可行性研究[J].中国全科医学,2013,16(6A):1887-1889.
[8]李国艳,冯莹,柳森.关于推进社区家庭医生式服务模式的实践与思考[J].社区医学杂志,2015,13(3):30-32.
[9]上海市统计局.2017年上海市国民经济和社会发展统计公报[EB/OL].(2018-03-08).http://www.stats-sh.gov.cn/html/sjfb/201803/1001690.html.
[10]陈翔.家庭医生制服务模式实施前后家庭病床服务情况的比较研究[J].中国全科医学,2016,19(4):466-469.
[11]上海市卫计委.2012年上海市创建全国示范社区卫生服务中心考评指标自评表[EB/OL].https://wenku.baidu.com/view/c067be00eff9aef8941e0653.html.
[2]杨帆.深化“医养融合”创新养老模式以上海市为例[J].江南论坛,2014(9):7-9.
[3]郑杰.“9073”格局下的上海社区养老政策基于网状社区模式的视角[J].天水行政学院学报,2014(6):36-41.
[4]潘毅慧,朱晓健,曹海涛,等.上海市家庭病床服务现状SWOT分析及对策建议[J].中华全科医学,2015,13(7):1140-1142.
[5]上海市卫生局,上海市发展和改革委员会,上海市人力资源和社会保障局,等.关于本市全面推广家庭医生制度的指导意见[Z].2013.
[6]国务院.卫生事业发展“十二五”规划[Z].2012.
[7]张冬妮,艾育华,孙瑶,等.构建居家老年健康管理系统的可行性研究[J].中国全科医学,2013,16(6A):1887-1889.
[8]李国艳,冯莹,柳森.关于推进社区家庭医生式服务模式的实践与思考[J].社区医学杂志,2015,13(3):30-32.
[9]上海市统计局.2017年上海市国民经济和社会发展统计公报[EB/OL].(2018-03-08).http://www.stats-sh.gov.cn/html/sjfb/201803/1001690.html.
[10]陈翔.家庭医生制服务模式实施前后家庭病床服务情况的比较研究[J].中国全科医学,2016,19(4):466-469.
[11]上海市卫计委.2012年上海市创建全国示范社区卫生服务中心考评指标自评表[EB/OL].https://wenku.baidu.com/view/c067be00eff9aef8941e0653.html.