基层个体医疗机构常态化疫情防控的监管实践探讨  

Supervision of COVID-19 prevention and control as a routine practice in primary private medical institutions

作　　者：蒋剑 何万宝 王丁华 Jiang Jian;He Wanbao;Wang Dinghua(Department of Medical Affairs,Fujian Provincial Hospital&School of Public Health of Fujian Medical University,Fuzhou 350001,China;Medical Administration and Management Office of Social Affairs Bureau of Pingtan Comprehensive Pilot Zone,Fujian Province,China)

机构地区：[1]福建省立医院医务部、福建医科大学公共卫生学院,福州350001 [2]福建省平潭综合实验区社会事业局医政医管处

出　　处：《中国医疗管理科学》2022年第3期63-66,共4页Chinese Journal Of Medical Management Sciences

基　　金：福建省卫生健康人才培养软科学项目(2019-RK-5)。

摘　　要：在疫情常态化防控工作中,各项防控措施的落实是重中之重。基层个体医疗机构由于其性质、功能及主观意愿等方面存在局限,执行常态化疫情防控措施的主动性不高、积极性不足,成为当前疫情防控的短板。结合福建省某海岛县的实际工作,对基层个体医疗机构落实疫情常态化防控进行实践探索,包括制定制度、细化流程;经常性督导、查找缺陷以及分片包干、同质化管理等工作经验,同时针对基层个体医疗机构疫情防控积极性和主动性不高,法律意识淡薄,政策执行力弱,知识和能力不足等方面的问题提出具体意见和建议。Implementation of effective measures is the top priority in the routine practice of the COVID-19 prevention and control. However, limited by their nature, functions, and subjective willingness, primary private medical institutions(PPMIs) have low motivation and enthusiasm in implementing these measures, which becomes a drawback in the flght against COVID-19. Based on the experience from an island county in Fujian Province, we have developed a multifaceted strategy in the routine practice of COVID-19prevention and control among PPMIs, including formulating and optimizing the current systems and processes;and implementing regular supervision, identifying shortcomings, and introducing new models such as subdivision of duties and homogeneous management. We proposed speciflc solutions to the low motivation and initiative, low legal awareness, poor policy implementation, and insufficient knowledge and capacity in PPMIs.

关 键 词：基层卫生 个体医疗机构 疫情防控 监管 

分 类 号：R197[医药卫生—卫生事业管理] R184[医药卫生—公共卫生与预防医学]