北京市社区卫生服务中心新发重大传染病应对和转诊情况研究  

Study on the response and referral of emerging major infectious diseases in community health service centers in Beijing City

作　　者：夏宇曦[1] 吕艳丽 万钢[2] 吴昕霞[1] 胥雪冬[1] 付卫[1] 乔杰[1] XIA Yu-xi;Lü Yan-li;WAN Gang;WU Xin-xia;XU Xue-dong;FU Wei;QIAO Jie(Peking Uhiversity Thind Hospital,Bejing 100191,China;不详)

机构地区：[1]北京大学第三医院,北京100191 [2]首都医科大学附属北京地坛医院

出　　处：《中国公共卫生管理》2022年第5期596-598,共3页Chinese Journal of Public Health Management

基　　金：首都卫生发展科研专项(2021-1G-4091)。

摘　　要：目的 分析北京市社区卫生服务中心新型冠状病毒肺炎(以下简称新冠肺炎)疫情期间新发重大传染病应对和转诊情况,为制定分级诊疗及社区卫生服务中心疫情应对策略提供依据。方法 采用定性与定量相结合的方法,对北京市部分社区卫生服务中心新发重大传染病防控和转诊情况进行描述性分析。结果 社区卫生服务中心均设有院内出现发热或疑似患者处置流程,96.30%的社区卫生服务中心设有传染病预检分诊及筛查流程,88.89%的社区卫生服务中心设置发热筛查哨点,81.48%的社区卫生服务中心启用过发热筛查哨点。接诊新冠肺炎相关症状患者后,社区卫生服务中心均能将所有患者转诊到其他医疗机构。其中,86.96%的社区卫生服务中心实现了对患者的信息记录登记,69.23%的社区卫生服务中心实现了对患者全程闭环管理。结论 北京市社区卫生服务中心在制度建设和硬件建设上有了很大提升,但在执行过程中尚需要采取相应的措施进一步改进与管理,以提升北京市社区卫生服务中心突发公共卫生事件的应对能力。Objective To analyze the response and referral situation of community health service centers in Beijing City during COVID-19 epidemic, and to provide basis for formulating hierarchical diagnosis and treatment and epidemic response strategies in community health service centers.Methods Qualitative and quantitative methods were used to describe and analyze the prevention and control of new outbreak epidemic and referrals in some community health service centers in Beijing City.Results All community health service centers had procedures for handling fever or suspected patients in the hospital. 96.30% community health service centers had pre-examination, triage and screening procedures for infectious diseases. 88.89% community health service centers set up sentinel points for fever screening,and 81.48% of community health service centers used sentinel points for fever screening. After receiving patients with symptoms related with COVID-19, the community health service centers referred all patients to other medical institutions, of which 86.96% of the community health service centers realized the registration of patients’ information records. 69.23% community health service centers realized the whole process of closed-loop management of patients.Conclusion The system construction and hardware construction of community health service centers in Beijing City have been greatly improved. In the process of implementation, further corresponding measures are needed to improve public health emergencies coping capacity of the community health service centers in Beijing City.

关 键 词：社区卫生服务中心 重大传染病 转诊 北京 

分 类 号：R197.3[医药卫生—卫生事业管理]