基于新公共管理理论的新型冠状病毒感染疫情应对政策实证策略:以四川大学华西医院急诊科抢救区为例  

Empirical study on the response policy to COVID-19 epidemic based on the new public management theory:take the emergency department rescue area of West China Hospital of Sichuan University as an example

作　　者：张静敏 余海放 曹钰[1,2,4] 姚蓉 高永莉[1,2,3] 张建娜[1,2,3] ZHANG Jingmin;YU Haifang;CAO Yu;YAO Rong;GAO Yongli;ZHANG Jianna(Department of Emergency Medicine,West China Hospital,Sichuan University/West China School of Nursing,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Disaster Medical Center,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Nursing Key Laboratory of Sichuan Province,Chengdu,Sichuan 610041,P.R.China;Laboratory of Emergency Medicine,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院急诊科/四川大学华西护理学院,成都610041 [2]四川大学灾难医学中心,成都610041 [3]护理学四川省重点实验室,成都610041 [4]四川大学华西医院急诊医学研究室,成都610041

出　　处：《华西医学》2023年第11期1726-1731,共6页West China Medical Journal

基　　金：四川省科学技术厅科技计划项目(2020YFS0009);成都市科学技术局科技项目(2020-YF05-00074-SN);成都市卫健委成都市医疗救治体系构建研究(H230209)。

摘　　要：随着新型冠状病毒(以下简称“新冠”)感染疫情的变化,2022年12月新冠感染疫情防控进入了新阶段。如何在短期内快速完成批量患者的收治,并保障其能得到快速有效的医疗救治,一直是急诊科亟待解决的难题。四川大学华西医院急诊科特依据新公共管理理论核心思想采取了以注重患者为导向性的管理措施,取得了较好效果。因此,该文总结了四川大学华西医院急诊科抢救区应对批量收治新冠感染患者的工作流程及护理管理策略,包括优化整改病区环境布局、实施抢救区“二次分诊”模式、增设危重症新冠感染患者急诊智慧院间转诊平台、建设急诊科抢救区新冠感染常规储备物资库、设立多科联动急诊入院服务现场办公室、优化新冠感染患者急诊转运服务、科学排班与合理的人力资源管理、提供职工人文关怀服务等,以期为急诊科管理工作实践提供借鉴与参考。With the change of COVID-19,the prevention and control of COVID-19 infection epidemic entered a new stage in December 2022.How to quickly complete the emergency treatment of a large number of patients in a short period of time,and ensure that patients in emergency department can get rapid and effective medical treatment has always been an urgent problem that emergency department need to solve.The Department of Emergency Medicine of West China Hospital of Sichuan University has adopted patient-oriented management measures based on the core idea of the new public management theory,and has achieved remarkable results.Therefore,this article summarizes the workflow and nursing management strategies of the emergency department rescue area of West China Hospital of Sichuan University in dealing with the batch treatment of COVID-19 infected patients,including optimizing and correcting the environment layout of the ward,implementing the“secondary triage”mode in the rescue area,adding an inter-hospital referral platform for critical patients with COVID-19 emergency,building a conventional COVID-19 reserve material repository in the emergency department,setting up a field office for multi-department joint emergency admission service,optimizing emergency transport services for patients with COVID-19,scientific scheduling and reasonable human resource management,and providing humanistic care for employees,in order to provide reference for the management practice of the emergency department.

关 键 词：新公共管理理论 新型冠状病毒感染 急诊科抢救区 收治流程 管理 

分 类 号：R197.3[医药卫生—卫生事业管理]