[1]狄春明 刘正清 潘毅慧.上海市基层社区家庭病床上门服务项目调查与分析[J].中国卫生质量管理,2019,26(02):019-21.[doi:10.13912/j.cnki.chqm.2019.26.2.07]
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上海市基层社区家庭病床上门服务项目调查与分析
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第26卷
期数:
2019年02期
页码:
019-21
栏目:
特别关注
出版日期:
2019-03-28

文章信息/Info

作者:
狄春明 刘正清 潘毅慧
上海市静安区曹家渡街道社区卫生服务中心
关键词:
上海市; 基层社区; 家庭病床; 上门服务项目
Keywords:
Shanghai; Grassroots Community;  Family Beds;  Visiting Service Items
DOI:
10.13912/j.cnki.chqm.2019.26.2.07
摘要:
目的了解上海市基层社区家庭病床上门服务项目提供现状，为完善管理提供依据。方法根据上海市家庭病床数据汇总表，统计2017年上海市基层社区开展上门服务项目情况。结果上海市中心城区和郊区可开展上门服务项目数均值分别为27.61±7.44、21.37±10.40，已开展上门服务项目均值分别为21.23±8.12、17.57±10.93，比较差异P值均<0.01。全市有超过82.92%的基层社区可开展6项家庭病床上门服务检查项目，超过80%的基层社区可开展换药、护理指导、导尿、康复指导、预约出诊、肌肉注射等家庭病床上门服务治疗项目。结论上海市中心城区与郊区可开展和已开展家庭病床上门服务项目数存在较大差异，可提供家庭病床服务项目与患者需求之间也存在较大差距。可借鉴国外经验，从政府、机构、患者三方入手，多方发力，共同促进家庭病床工作持续开展。
Abstract:
ObjectiveTo investigate the present situation of family health care on-site service items in Shanghai community health service institutions, and to provide evidence for management.MethodsAccording to the summary table of Shanghai family health care data, the on-site service items by Shanghai community health service center in 2017 were analyzed. ResultsThe mean numbers of available on-site service items in urban and suburban areas of Shanghai were 27.61±7.44 and 21.37±10.40, respectively, and the mean numbers of available on-site service items were 21.23±8.12 and 17.57±10.93, respectively, with all P<0.01. More than 82.92% community health service centers can carry out six family health care on-site service items, and more than 80% of community health service centers can carry out family health care on-site service items of dressing change, nursing guidance, catheterization, rehabilitation guidance, appointment of home visits, intramuscular injection, etc.Conclusion Significant difference existed in the number of family health care on-site service that can be carried out and have been carried out between the urban and suburban areas of Shanghai, and there were also gap between the family health care on-site service items provided and the needs of patients. The mature experience of foreign countries can be learned and efforts should be made in various ways from three aspects of the government, institutions and patients to jointly promote the continuous development of family health care.

参考文献/References:

［1］钟彩英，吴翠平，黄树琴，等.深圳市社区失能老人现状及其家庭病床服务需求调查［J］.黑龙江医学，2016，40（5）：457-459.

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更新日期/Last Update: 2019-03-28