北京市公立三级综合医院疾病预防控制服务提供情况分析

Y. Meng, W. Qiu, Kun Wang, Xiao-ling Yan, P. Dong, Guangyu Hu, Yu-jie Yang
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引用次数: 1

摘要

目的了解北京市三级公立综合医院疾病预防控制服务的实施情况,为探索和建立科学的医疗机构疾病控制服务评价模型提供依据。方法2018年6月至9月,通过对北京市50家三级公立综合医院的问卷调查,对北京市三级公立医院疾病预防控制的科室设置、人员配置和服务提供状况进行描述性分析。结果在调查的44家公立三级综合医院中,有26家(59.1%)医疗机构设立了疾病预防控制科。该部门44家医院的平均人手为5.8人。工作人员的专业组成以护理和临床学科为主,学术和职称分别以本科和中级学位为主。公立三级综合医院的疾病预防和控制服务整体表现令人满意。在传染病控制和死亡监测管理方面,即免疫预防、慢性非传染性疾病和伤害监测方面,工作开展得很好,在心理健康服务、职业健康管理、环境和健康监测等职能方面差异很大。结论人才的业务能力和管理水平还有待提高。要进一步明确疾控机构、医疗机构、社区“三位一体”的联防联控机制,推进医防结合,探索根据医院承担疾病预防控制服务的类型和数量要求,对疾病控制工作进行分类分级评价,切实提高医院疾病控制服务水平。关键词:医院,公共;三级综合医院;疾病预防和控制;状态分析;北京
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Analysis of disease prevention and control services provision at public tertiary general hospitals in Beijing
Objective To investigate the implementation of disease prevention and control services at tertiary public general hospitals in Beijing for providing evidences to explore and build a scientific evaluation model of disease control service in medical institutions. Methods June to September 2018, through a questionnaire survey of 50 tertiary public general hospitals in Beijing, a descriptive analysis was made on the department setting, personnel allocation and service provision status of disease prevention and control at tertiary public general hospitals in Beijing. Results Among the 44 investigated public tertiary general hospitals, 26(59.1%) medical institutions have set up departments of disease prevention and control. The average staffing of 44 hospitals was 5.8 persons for the department. Professional composition of the staff was mostly nursing and clinical disciplines, and the academic and professional titles were mostly undergraduate and intermediate degrees respectively. Overall performance of disease prevention and control services in public tertiary general hospitals was satisfactory. The work was well carried out in communicable disease control and death-surveillance management, namely in immunoprophylaxis, chronic noncommunicable diseases and injury monitoring, which varies widely in mental health services, occupational health management, environmental and health monitoring and other functions. Conclusions Professional ability and management level of personnel still need to be improved. We should further clarify the joint prevention and control mechanism of the " Three-in-one" nature of disease control institutions, medical institutions and communities, promote the combination of medical treatment and prevention, and explore the classification and grading evaluation of disease control work based on the types and quantity requirements of disease prevention and control services undertaken by hospitals, so as to effectively improve the level of disease control services in hospitals. Key words: Hospitals, public; Tertiary general hospital; Disease prevention and control; Status analysis; Beijing
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