北京市某区安宁疗护服务现状分析  

Analysis on the current situation of hospice care service in a district of Beijing

作　　者：王红 彭娜 范月英 刘屹 梁晓婷[3] Wang Hong;Peng Na;Fan Yueying;Liu Yi;Liang Xiaoting(Department of Rehabilitation Medicine,Beijing Longfu Hospital,Beijing 100010,China;Dongcheng District Guidance Center for Geriatric Health and Integrated Medical Care Services,Beijing 100010,China;Library of Beijing Chao-yang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]北京市隆福医院康复医学科,北京100010 [2]东城区老年健康和医养结合服务指导中心,北京100010 [3]首都医科大学附属北京朝阳医院图书馆,北京100020

出　　处：《中华医院管理杂志》2022年第5期387-390,共4页Chinese Journal of Hospital Administration

摘　　要：目的分析2020年北京市某区安宁疗护服务终线调查数据,探讨该区安宁疗护服务现状和存在问题,并提出相应对策,为推动安宁疗护服务的发展提供参考。方法获取北京市某区4家三级医院和5家社区卫生服务中心填报的"2020年全国第二批安宁疗护试点地区终线调查表"的数据,填报时间范围为2020年1—12月。采用文本分析法分析安宁疗护模式、相关保障政策、安宁疗护团队、病例诊断分类、平均住院日和患者费用负担等,所有数据采用描述性分析。结果2020年,北京市某区9家医疗机构中仅4家三级医院开展安宁疗护的门诊、会诊和住院服务,9家医疗机构均未开展居家安宁疗护服务。4家医院从事安宁疗护的医师和护士分别为35人和40人;安宁疗护住院病例为267例,其中恶性肿瘤病例121例,占45.32%;安宁疗护患者平均住院日(40.0天)多于医院平均住院日(7.8天);安宁疗护患者日均住院费(3428.7元)低于医院日均住院费(3605.6元);安宁疗护服务项目尚未纳入医保支付范围,且相关保障政策不完善。结论北京市某区安宁疗护服务工作尚处于起步阶段,有关安宁疗护的专业人才队伍建设、相关配套政策等均不能满足该区安宁疗护服务需求。应加快发展基层医疗机构安宁疗护,搭建"医院-社区-家庭"三级照护网络,大力培养安宁疗护专业技术人才,建立健全医疗保障制度,以推动该地区安宁疗护服务的快速发展。Objective To analyze the terminal survey data of hospice care services in a district of Beijing in 2020,and discuss its current situation and existing problems of hospice care services in this district for countermeasures,hence providing reference for the development of hospice care services.Methods Data were collected from the"Terminal Survey Forms of the Second Batch of Hospice Care Pilot Areas in China in 2020",which were reported by 4 tertiary hospitals and 5 community health service centers in a district of Beijing.The reporting timeframe ranged from January to December 2020.Text analysis method was used to analyze the hospice care mode,relevant security policies,hospice care team,case diagnosis categories,average hospitalization days and patient cost burden.All the data were subject to descriptive analysis.Results In 2020,only 4 tertiary hospitals carried out outpatient,consultation and inpatient services of hospice care among the 9 medical institutions in a certain district of Beijing,and none of them carried out home hospice care services.The number of doctors and nurses engaged in hospice care in the four hospitals was 35 and 40 respectively;There were 267 inpatient cases of hospice care,including 121 cases of malignant tumors,accounting for 45.32%;The average hospitalization days of hospice patients(40.0 days)was more than that of the hospital(7.8 days);The average daily hospitalization cost of hospice patients(3428.7 yuan)was lower than that of the hospital(3605.6 yuan);Hospice care services had not been included in the scope of medical insurance payment,and the relevant security policies were not perfect.Conclusions The work of hospice care service in a district of Beijing remains at an initial stage,and the professional team building and supporting policies for hospice care fail to catch up with the demand in this district.The authors suggest to speed up the development of hospice care in primary medical institutions,build a network of"hospital-community-family"levels,enhance training of professional

关 键 词：安宁疗护 医疗机构 试点 终线调查表 服务模式 数据分析 

分 类 号：R48[医药卫生—临床医学]