上海市社区护理中心服务能力的现况调查与分析  

Investigation and analysis of service capacity of community nursing centers in Shanghai

作　　者：王馥兰 李水静 庹焱 江萍[4] 刘薇群 陈劼[6] 张娴 刘涛 WANG Fulan;LI Shuijing;TUO Yan;JIANG Ping;LIU Weiqun;CHEN Jie;ZHANG Xian;LIU Tao(Community Health Service Center for Fenglin Subdistrict,Xuhui District,Shanghai 200030,China;Shanghai Municipal Health Commission,Shanghai 200125,China;Shanghai Nursing Association,Shanghai 200040,China;Shanghai Pudong New Area People's Hospital,Shanghai 201299,China;Zhoupu Hospital,Shanghai University of Medicine&Health Sciences,Shanghai 201318,China;School of Nursing,Fudan University,Shanghai 200032,China;Community Health Service Center for Caohejing Subdistrict,Xuhui District,Shanghai 200232,China;Shanghai Baimaoling Hospital,Shanghai 242121,China)

机构地区：[1]徐汇区枫林街道社区卫生服务中心,上海200030 [2]上海市卫生健康委员会,上海200125 [3]上海市护理学会,上海200040 [4]上海市浦东新区人民医院,上海201299 [5]上海健康医学院附属周浦医院,上海201318 [6]上海市复旦大学护理学院,上海200032 [7]上海市徐汇区漕河泾街道社区卫生服务中心,上海200232 [8]上海市白茅岭医院,上海242121

出　　处：《健康发展与政策研究》2024年第3期211-217,共7页Health Development and Policy Research

基　　金：上海市徐汇区“光启名医”培育项目(徐卫健党[2024]15号)。

摘　　要：目的比较社区卫生服务中心护理中心建设前后的护理服务能力情况,为进一步开展循证决策提供借鉴。方法调查上海市2023年首批通过市级验收的36家社区护理中心,收集并比较建设前后社区护理的基本情况、场地设置、人员配置、专科服务能力、学科建设、医疗联合体对接与信息化建设情况。结果36家社区护理中心平均服务面积为(213.90±170.15)m^(2),其中城区14家(占38.89%)、近郊12家(占33.33%)、远郊10家(占27.78%)。2023年,有相对独立综合护理服务区的社区(100.00%)较2022年(22.22%)有所增加,差异有统计学意义(χ^(2)=45.818,P<0.001);专科护理服务人次数(1509831人次)虽较2022年(1274176人次)增长,但差异无统计学意义(χ^(2)=72.000,P=0.445);排名前3的护理服务项目为中医护理、糖尿病护理、康复护理。2023年,社区护理中心均配有专职护士,中、高级职称护士比例(1:0.047)较建设前(1:0.040)增加,各类学术成果(541项)均超过2022年(269项),开展“互联网+”护理服务的社区数和服务量、社区至上级医院护理联动的人次数均有所增加。结论通过1年的建设,上海市首批通过市级验收的36家社区护理中心在场地设置、专科护理服务能力、学科建设方面有明显提升,在护理人员配置、社区护理服务同质化方面还有待进一步完善。Objective To compare the nursing service capacity of community health service centers before and after the establishment of nursing centers,and to provide insights for evidence-based decision-making.Methods A survey was conducted on 36 community nursing centers in Shanghai that passed municipal acceptance in 2023.Data were collected and compared regarding the basic situation,site setup,personnel allocation,specialty service capacity,discipline construction,medical network integration,and information technology development before and after construction.Results The average service area of 36 community nursing centers was(213.90±170.15)m^(2),including 14 in urban areas(38.89%),12 in suburban areas(33.33%)and 10 in outer suburbs(27.78%).The proportion of centers with relatively independent comprehensive care service areas increased from 22.22%in 2022 to 100.00%in 2023,showing a statistically significant difference(χ^(2)=45.818,P<0.001).Although the number of specialist nursing service visits increased to 1,509,831 from 1,274,176 in 2022,the difference was not statistically(χ^(2)=72.000,P=0.445).The top three nursing services were Chinese medicine nursing,diabetes nursing and rehabilitation nursing.By 2023,all community nursing centers had full-time nurses,and the proportion of nurses with middle or high professional titles increased to 1:0.047 compared to 1:0.040 before construction.The number of academic achievements reached 541,significantly higher than 269 in 2022.Additionally,there was an increase in the number of“Internet+”nursing services,and the number of nursing linkages between communities and higher-level hospitals also grew.Conclusions After one year of development,the 36 community nursing centers in Shanghai that passed municipal acceptance showed significant improvements in site setup,specialized nursing service capacity,and discipline construction.However,further improvements are needed in nursing personnel allocation and homogenization-induced nursing services across this communities should be a

关 键 词：社区护理中心 服务能力 护联体 建议 

分 类 号：R195[医药卫生—卫生统计学]