医防融合,促进特殊健康状态儿童免疫接种  

Public health and clinical care integration to improve immunization of children with special health care needs

作　　者：王琳 郝利新[2] 白云骅[3] Wang Lin;Hao Lixin;Bai Yunhua(Department of Child Health Care,Children′s Hospital,Capital Institute of Pediatrics,Beijing 100020,China;Division of Immunization Programme,Chinese Center for Disease Control and Prevention,Beijing 100050,China;Chaoyang District Center for Disease Control and Prevention,Beijing 100021,China)

机构地区：[1]首都儿科研究所附属儿童医院保健科,北京100020 [2]中国疾病预防控制中心免疫规划中心,北京100050 [3]北京市朝阳区疾病预防控制中心生物制品科,北京100021

出　　处：《中华预防医学杂志》2022年第6期673-678,共6页Chinese Journal of Preventive Medicine

基　　金：首都卫生发展科研专项(2020-2-2104);北京市属医学科研院所公益发展改革试点项目(京医研2019-11,京医研2021-03);首都儿科研究所所级基金(FX-2019-06,QN-2020-08,CXYJ-2021-08,LCPY-2021-11,LCPY-2021-27)。

摘　　要：特殊健康状态儿童的疫苗接种一直是基层公共卫生工作的难点之一。尽管近年来各地出台了相关接种共识,但长期以来我国疾病预防和临床医疗两大系统之间缺乏相对有效的沟通渠道和交流机制,儿科医生在免疫接种工作中角色缺位,而基层接种人员面临疾病鉴别、科学评估和向上转诊等困境,导致疫苗接种犹豫问题凸显,特殊健康状态儿童的多学科管理和三级转诊模式亟待完善。需进一步加强医防融合,儿科医生积极参与,有效促进特殊健康状态儿童的疫苗接种。Immunization of children with special health care needs has always been one of the difficulties in community-level public health.In recent years the relevant consensus opinions on vaccination have been issued in China,but for a long time there is a lack of effective communication channels between disease prevention and clinical medical systems in China.Pediatricians play an unoccupied role in immunization,and community-level vaccinators face the difficulties including dilemma of disease identification,evidence-based evaluation and upward referral.These lead to the vaccination hesitancy,thus the multi-disciplinary management and three-level referral model of children with special health care needs should be improved urgently.It should strengthen the integration of public health and clinical care,with the active participation of pediatricians,to promote the immunization of children with special health care needs effectively.

关 键 词：疫苗接种 特殊健康状态儿童 医防融合 

分 类 号：R186[医药卫生—流行病学]