领办型紧密医疗联合体模式在新型冠状病毒肺炎患者救治中的创新应用与效果  

Innovative application and effects of lead-type close medical consortium under the epidemic situation of coronavirus disease 2019

作　　者：李蓉梅[1,2,3] 杜馨雯 冯先琼 王淼[5] 罗春霞[6] 陈碧蓉 雷玉倩 蒋光惠 陈卓 刘明 LI Rongmei;DU Xinwen;FENG Xianqiong;WANG Miao;LUO Chunxia;CHEN Birong;LEI Yuqian;JIANG Guanghui;CHEN Zhuo;LIU Ming(Operation Management Department,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;President&Dean’s Office,Jintang First People’s Hospital,Jintang,Sichuan 610400,P.R.China;Sichuan University-The Hong Kong Polytechnic University Institute for Disaster Management and Reconstruction,Chengdu,Sichuan 610207,P.R.China;West China School of Nursing/West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Public Affairs Department,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Department of Infection,Jintang First People’s Hospital,Jintang,Sichuan 610400,P.R.China;Department of Nursing,Jintang First People’s Hospital,Jintang,Sichuan 610400,P.R.China;Department of Operation Management and Information,Jintang First People’s Hospital,Jintang,Sichuan 610400,P.R.China;Hierarchical Diagnosis and Treatment Office,Jintang First People’s Hospital,Jintang,Sichuan 610400,P.R.China;Department of Research and Teaching,Jintang First People’s Hospital,Jintang,Sichuan 610400,P.R.China;Department of Orthopedics,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院运营管理部,成都610041 [2]金堂县第一人民医院院长办公室,四川金堂610400 [3]四川大学-香港理工大学灾后重建与管理学院,成都610207 [4]四川大学华西护理学院/华西医院,成都610041 [5]四川大学华西医院公共事业发展部,成都610041 [6]金堂县第一人民医院感染科,四川金堂610400 [7]金堂县第一人民医院护理部,四川金堂610400 [8]金堂县第一人民医院运管信息科,四川金堂610400 [9]金堂县第一人民医院分级诊疗办公室,四川金堂610400 [10]金堂县第一人民医院科教科,四川金堂610400 [11]四川大学华西医院骨科,成都610041

出　　处：《华西医学》2021年第2期160-165,共6页West China Medical Journal

基　　金：四川省科学技术厅重点研发项目(2020YFS0001)。

摘　　要：目的探索领办型紧密医疗联合体模式在新型冠状病毒肺炎患者救治中的创新应用方法与效果。方法新型冠状病毒肺炎疫情期间,在领办型紧密医疗联合体牵头单位四川大学华西医院的指导下,金堂县第一人民医院采取了系列创新的应对方法,并于2020年2月—3月运用患者满意度问卷、医务人员满意度问卷对收治的确诊或疑似新型冠状病毒肺炎患者及参与抗疫的医务人员进行调查,通过医院信息系统提取相关卫生经济学指标进行描述分析,以验证系列措施的实施效果。结果共纳入患者16例,其中确诊病例10例,疑似病例6例,患者满意度得分中位数为66分,所有患者均治愈出院。共纳入医务人员56人,其中医生18人,护士38人,医务人员满意度得分中位数为81分。患者平均住院日为11.00 d、次均住院费为5117.35元,次均药费为1099.95元,次均材料费为38.63元,药占比为21.49%,材料占比为0.75%。结论该模式在新型冠状病毒肺炎患者救治中的创新应用,在此次疫情防控过程中凸现了重要作用,在患者救治、患者满意度及医院管理等方面成效显著,值得进一步推广。Objective To explore the innovative application and effect of lead-type close medical consortium under the epidemic situation of coronavirus disease 2019(COVID-19).Methods During the epidemic of COVID-19,Jintang First People’s Hospital implemented a series of innovative countermeasures under the guidance of West China Hospital of Sichuan University,the leading hospital of a lead-type close medical consortium.To verify the implementation effect of the countermeasures,the patient satisfaction questionnaire and medical personnel satisfaction questionnaire were administered in confirmed or suspected COVID-19 patients and anti-epidemic healthcare workers.The relevant health economic indicators were extracted through the hospital information system for descriptive analysis.Results A total of 16 patients were included,including 10 confirmed patients and 6 suspected patients.The median score of patient satisfaction was 66.All patients were cured and discharged.A total of 56 healthcare workers were included,including 18 doctors and 38 nurses,with a median satisfaction score of 81.The average length of hospital stay of patients was 11.00 d,the average hospitalization cost was 5117.35 yuan;the average drug cost was 1099.95 yuan,accounted for 21.49%;the average material cost was 38.63 yuan,accounted for 0.75%.Conclusions The innovative application of the lead-type close medical consortium in the treatment of patients with COVID-19 plays an important role in the prevention and control of epidemic,and has achieved remarkable results in patients treatment,patients satisfaction,and hospital management.It is worthy of being widely popularized.

关 键 词：新型冠状病毒肺炎 救治 领办型紧密医疗联合体 应用效果 

分 类 号：R563.1[医药卫生—呼吸系统] R197.32[医药卫生—内科学]