[1]高妍丁燕刘登.上海市基层社区家庭病床工作量调查与分析[J].中国卫生质量管理,2019,26(02):13-15.[doi:10.13912/j.cnki.chqm.2019.26.2.05]

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上海市基层社区家庭病床工作量调查与分析

《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: 13-15 栏目: 特别关注出版日期: 2019-03-28

作者:: 高妍丁燕刘登; 上海市嘉定区安亭镇社区卫生服务中心

关键词:: 上海市; 基层社区; 家庭病床; 工作量

Keywords:: Shanghai; Grassroots Community; Family Beds; Workload

DOI:: 10.13912/j.cnki.chqm.2019.26.2.05

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。

Abstract:: ObjectiveTo 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.MethodsA 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.ResultsThe 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.

参考文献/References:

［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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更新日期/Last Update: 2019-03-28