[1]孙晓宇马丽平李娜杨威刘倩楠熊康吴奇飞.细菌真菌感染诊治培训项目效果评价及建议[J].中国卫生质量管理,2022,29(12):029-33.[doi:10.13912/j.cnki.chqm.2022.29.12.07 ]
 SUN Xiaoyu,MA Liping,LI Na.Effect Evaluation and Suggestion of Training Program on Diagnosis and Treatment of Bacterial and Fungal Infections[J].Chinese Health Quality Management,2022,29(12):029-33.[doi:10.13912/j.cnki.chqm.2022.29.12.07 ]
点击复制

细菌真菌感染诊治培训项目效果评价及建议
分享到:

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第29卷
期数:
2022年12期
页码:
029-33
栏目:
医疗质量
出版日期:
2022-12-28

文章信息/Info

Title:
Effect Evaluation and Suggestion of Training Program on Diagnosis and Treatment of Bacterial and Fungal Infections
作者:
孙晓宇马丽平李娜杨威刘倩楠熊康吴奇飞
国家卫生健康委医院管理研究所
Author(s):
SUN XiaoyuMA LipingLI Na
National Institute of Hospital Administration
关键词:
细菌真菌感染抗菌药物管理培训项目效果评价
Keywords:
Bacterial and Fungal InfectionsAntimicrobial StewardshipTraining ProgramEffect Evaluation
分类号:
R197.323;R9
DOI:
10.13912/j.cnki.chqm.2022.29.12.07
文献标志码:
A
摘要:
目的了解细菌真菌感染诊治培训项目对医疗机构感染学科建设的影响。方法对参与培训项目的805所医疗机构及2 079名学员进行调查,应用Excel 2019软件对收集数据进行整理,应用SPSS 25.0软件进行统计学分析。结果培训后设有感染科/传染科、细菌真菌感染病区或医疗组、感染/传染门诊、细菌真菌感染门诊的二级及以上综合医院数量均较培训前显著增加(P<0.001)。医师月均细菌真菌感染专科门诊出诊次数(t=-2.31,P=0.010)和年会诊例次数(t=-4.73,P<0.001)增加,人均管理床位数也呈增长趋势。9.19%的学员职位转变为抗菌药物管理工作小组组员,5.39%的学员成为组长;1.59%的学员成为院感科主任;9.91%的学员成为省市级讲者,1.59%学员成为全国级讲者。结论细菌真菌感染诊治培训项目提高了医疗机构对感染科建设的重视程度,符合政策层面对细菌真菌诊疗工作体系建设的要求。未来应进一步加强政策扶持,推动省级层面方案落地,并扩展培训范围。
Abstract:
ObjectiveTo investigate the effect of training program on diagnosis and treatment of bacterial and fungal infections on infection discipline construction in medical institutions.MethodsA total of 805 medical institutions and 2 079 trainees participating in the training program were investigated. Excel 2019 software was used to sort out the collected data, and SPSS 25.0 software was used for statistical analysis.ResultsAfter the training, the number of secondary and above general hospitals with infection department /communicable department, bacterial and fungal infection ward or medical group, infection /communicable clinic, bacterial and fungal infection clinic increased significantly compared with those before the training (P<0.001). The number of outpatient visits (t=-2.31, P=0.010) and annual consultation cases (t=-4.73, P<0.001) increased, and the number of tube beds per capita also showed an increasing trend. 9.19% of the trainees became members of the antimicrobial management working group, and 5.39% became team leaders. 1.59% of the trainees were the director of the hospital's infection department.9.91% of the students proposed to be provincial and municipal continuing education speakers, and 1.59% of the students proposed to be national speakers. Conclusion The training program of diagnosis and treatment of bacterial and fungal infections can improve the attention of medical institutions to the construction of infection department, and meet the requirements of the construction of the system of diagnosis and treatment of bacterial and fungal infections at the policy level. In the future, policy support should be further strengthened to promote the implementation of programs at the provincial level and broaden the scope of training.

参考文献/References:

[1]O'NEILL J. Tackling drug-resistant infections globally: final report and recommendations—the review on antimicrobial resistance[EB/OL]. (2016)[2022-08-22]. https://amr-review.org/sites/default/files/160525_Final%20paper_with%20cover.pdf. [2]李 炜,向 俊,易 晶,等.基于CNKI的2000-2018年我国抗生素滥用的文献计量学分析[J].中国社会医学杂志,2021,38(3):344-346. [3]刘胤岐,孙 强,阴 佳,等.中国抗生素耐药性治理的政策演变及启示[J].中国卫生政策研究,2019,12(5):44-48. [4]国家卫生计生委办公厅.关于提高二级以上综合医院细菌真菌感染诊疗能力的通知:国卫办医函〔2016〕1281号[EB/OL]. (2016-12-09)[2022-08-22]. http://www.nhc.gov.cn/yzygj/s7659/201612/d32dbf 81d94841d1a988ef3c59f13975.shtml. [5]孙晓娈,邢 园,计 成,等.江苏三级医院抗菌药物管理调查[J].南京医科大学学报(社会科学版),2018,18(6):469-473. [6]王明民,张 静,孙晓慧. 青岛市二级以上综合医院感染性疾病科建设现状与思考[J].现代医院管理,2018,16(5):46-50. [7]陈丽敏,刘振国.浅谈感染科门诊住培医生临床思维培养[J].中国继续医学教育,2022,14(6):170-173. [8]陈姝彦,郭舜民,余晶晶.福建省医学科学研究院2012—2016年科研现状分析与发展对策[J].福建医药杂志,2018,40(3):145-146. [9]马丽平.中国细菌真菌感染诊治能力建设及抗菌药物临床应用管理发展报告[M].北京:清华大学出版社,2021:94-95. [10]刘爱澜, 杨玉清, 高晶. 以“党建+”推动公立医院高质量发展的实践路径探讨[J].中国卫生质量管理, 2021, 28(11):103-106.

相似文献/References:

[1]马丽平李娜熊康吴奇飞杨威孙晓宇刘倩楠.14家医院细菌真菌感染诊治能力建设的定性比较[J].中国卫生质量管理,2022,29(11):030.[doi:10.13912/j.cnki.chqm.2022.29.11.08 ]
 MA Liping,LI Na,XIONG Kang.Qualitative Comparison of Capacity Construction for Diagnosis and Treatment of Bacteria and Fungi Infections in 14 Hospitals[J].Chinese Health Quality Management,2022,29(12):030.[doi:10.13912/j.cnki.chqm.2022.29.11.08 ]

更新日期/Last Update: 2022-12-28