基层医院门诊慢性病档案建立管理的认识体会  

作　　者：单景龙 朱慧涛 龚莉 张培荣[1] 高明清[1] 

机构地区：[1]潍坊医学院附属医院医务部,山东潍坊261031

出　　处：《人人健康》2022年第17期57-59,共3页Health for Everyone

基　　金：山东省重点研发计划项目。项目编号:2015GSF118146。

摘　　要：目的:慢性病已成为影响我国居民身心健康及国家卫生资源、疾病负担主要病种,但慢性病的防控意识薄弱、医疗资源分布不均、居民认识不足依从性差、疾病科学普及不规范、慢性病诊治同质化差等因素导致慢性病居高不下,是导致居民致残致死的重要原因。方法:门诊慢性病日益成为乡镇村社居民就医的医疗模式,它方便就医诊治、节省医疗资源、费用,有利于医疗转诊合作,医疗基金的下沉促进基层医院发展。结果:但目前基层医疗机构慢病管理人财物缺乏、软硬件设施匹配不全、制度不健全、医疗技术水平差距较大、居民对基层医疗机构缺乏信任致使基层医疗机构慢性病档案建立管理与居民健康需求脱节,影响慢性病防控。结论:加强基层医院门诊慢性病的档案管理显得尤为重要。Objective:Chronic diseases have become the main diseases that affect residents’physical and mental health,national health resources and disease burden.Methods:Due to the weak awareness of prevention and control of chronic diseases,uneven distribution of medical and health resources,poor residents’understanding and compliance,non-standard popularization of scientific knowledge of diseases,and poor homogeneity of diagnosis and treatment of chronic diseases,chronic diseases is an important cause of disability and death.Results:At present,the lack of human resources,property,the incomplete matching of hardware and software facilities,the imperfect system,the large gap of medical technology and ability,and the lack of trust of residents in primary medical institutions lead to the disconnection between the establishment and management of chronic disease archives in primary medical institutions and the health needs of residents,which affects the prevention and control of chronic diseases.Conclusion:It is particularly important to strengthen the file management of outpatient chronic diseases in primary hospitals.

关 键 词：基层医院 门诊 慢性病 档案建立 管理 认识 

分 类 号：R47[医药卫生—护理学]