城市基层医疗卫生机构传染病防治关键问题确认  

Verification on key issues in communicable disease control for urban primary health care institutions

作　　者：王权 郭沙沙[1,2] 王婷 窦蕾[1,2] 刘新雨 孙强[1,2] WANG Quan;GUO Sha-sha;WANG Ting(Centre for Health Management and Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University,Ji'nan,Shandong Province 250012,China;不详)

机构地区：[1]山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心,济南250012 [2]国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学)

出　　处：《中国公共卫生》2021年第10期1449-1453,共5页Chinese Journal of Public Health

摘　　要：目的通过分析我国城市基层医疗卫生机构传染病防治过程中存在问题的重要性、严重性和优先解决性,明确应优先解决的关键问题。方法在中国知网、万方数据知识服务平台、维普网、中国生物医学文献服务系统中检索2020年8月21日前公开发表的涉及该领域现状和问题的文献,通过文献评阅及专家咨询建立问题清单,计算各个问题的重要性指数I i、严重性指标Si和优先解决指数R i,并以此确认关键问题。结果对453篇文献进行评阅,共得到问题432条;经过整合形成包括7条一级问题、22条二级问题的问题系统。其中公共卫生人员数量不足(Ri=0.0765)、与上级行政机构及医院缺乏必要的联系通道和合理的制度安排(Ri=0.0741)、对传染病诊断标准不熟悉(Ri=0.0566)是我国城市基层医疗卫生机构传染病防治领域中的关键问题。结论目前我国城市基层医疗卫生机构传染病预防控制体系、人力资源配备及其防治能力方面存在较大问题,这应是今后改进城市基层传染病防治工作的重点。Objective To verify key issues in the process of communicable disease control for urban primary health care institutions based on assessing the importance, seriousness, and priority of the issues. Methods We searched China National Knowledge Infrastructure(CNKI), Wanfang Data Knowledge Service Platform, the VIP database, and China Biomedical Literature Service System(SinoMed) for related studies published till August 21, 2020 and conducted literature researches and expert consultations to establish an overall list of the key issues. Then we calculated the index of importance(I_(i)),seriousness(S_(i)), and priority(R_(i)) for all issues listed for the determination of the items of the key issues. Results Totally 432 issues in the process of communicable disease control for urban primary health care institutions were identified based on literature studies on 126 finally included researches. We summarized the 432 issues into an issue system with 7 first-level issues and 22 second-level issues. Among all the issues in the constructed system, 3 were assessed as key issues, including the lack of public health doctors(Ri= 0:0765), the absence of institutional arrangement among urban primary health care institutions, upper-level hospitals and administrative agencies(R_(i)= 0:0741), and the incompetence of communicable disease diagnosis(R_(i)= 0:0566). Conclusion The structure of institutional system, human resource allocation and professional capability are key issues in the process of communicable disease control for urban primary health care institutions.

关 键 词：基层医疗卫生机构 传染病控制 城市 关键问题 卫生系统宏观模型 

分 类 号：R183[医药卫生—流行病学]