2021—2023年上海市金山区家庭病床服务现状分析  

Status quo of family bed service in Jinshan District of Shanghai from 2021 to 2023

作　　者：聂莲莲 杨旦红 耿倩影 李俊 郭寒蕾 江雁 NIE Lianlian;YANG Danhong;GENG Qianying;LI Jun;GUO Hanlei;JIANG Yan(Lvxiang Community Health Service Center of Jinshan District,Shanghai 201517,China;Zhujing Community Health Service Center of Jinshan District,Shanghai 201599,China;Health School Affiliated to Shanghai Medical College,Xuhui District,Shanghai 200237,China;Jinshan District Health Management Center,Shanghai 200540,Chin)

机构地区：[1]上海市金山区吕巷镇社区卫生服务中心,上海金山201517 [2]上海市金山区朱泾社区卫生服务中心,上海金山201599 [3]上海健康医学院附属卫生学校,上海徐汇200237 [4]上海市金山区卫生健康事业管理中心,上海金山200540

出　　处：《中国农村卫生事业管理》2024年第10期717-722,共6页Chinese Rural Health Service Administration

摘　　要：目的分析家庭病床工作开展现状,为优化家庭病床工作提供参考。方法从上海市金山区卫生信息系统数据库中导出2021—2023年金山区11家社区卫生服务中心开展的家庭病床工作数据,采用回顾性调查方法,收集并分析家庭病床患者的性别、年龄、婚姻状况、职业、居住地、建床类别、费用类别、疾病种类、服务项目等。结果2021—2023年上海市金山区居家患者家庭病床量共计5358张,年度家庭病床数量(张)、家庭病床总收入、平均家庭病床费用均呈逐年增长趋势;患者年龄以80岁以上为主,平均年龄(75.02±13.36)岁,平均年龄逐年下降。不同性别患者不同年度家庭病床差异无统计学意义(P>0.05);不同年龄、婚姻状况、职业、居住地、建床类别、费用类别患者不同年度比较差异有统计学意义,以年龄≥80岁(2021年)、婚姻状况已婚(2023年)、职业离退休(2021年)、居住地城镇(2021年)、建床类别西医(2021年)、费用类别医保(2023年)的患者的占比高于其他相应组别(P<0.05)。每百人平均家庭病床建床数量最高社区是最低社区的2.39倍。家庭病床患者涉及各类病种,以常见慢性病和新冠病毒感染为主。服务项目次数排前三位的分别为家庭病床巡诊、血液/尿液/粪便检测、换药。结论金山区家庭病床工作成效正逐步展现,但家庭病床推广及服务能效均有待提升。还需加强家庭病床政策宣传,政府多方统筹降低相关费用,拓展家庭病床服务项目,为适宜患者提供精准服务,加大医护人员家庭病床培训和质量管理,不断提升家庭病床服务内涵和质量。Objective To analyze the status quo of hospital-at-home care and to provide reference for optimizing the work.Methods The data of hospital-at-home care carried out by 11 community health service centers in Jinshan District during 2021—2023 were extracted from the database of Shanghai Jinshan District Health Information System,and retrospective survey was performed for the collection and analysis of the patients'gender,age,marital status,occupation,residence,type of care,expense classification,category of disease and service items.Results The total number of home sickbeds in Jinshan District of Shanghai was 5358 from 2021 to 2023.The annual number of sickbeds,the total income of hospital-at-home care and the average cost for hospital-at-home care all showed an increasing trend year by year.The majority of patients were over 80 years old,with an average age of(75.02±13.36)years,which decreased year by year.There was no significant difference in hospital-at-home care among different years and patients with different gender(P>0.05).There were statistically significant differences among patients with different age,marital status,occupation,residence,type of care and expense classification in different years.The proportion of patients with age≥80 years old(2021),married(2023),retirement(2021),town residence(2021),western medical care(2021),and medical insurance expense(2023)was higher than that of other corresponding groups(P<0.05).The number of home sickbeds per 100 people in the community with the highest number was 2.39 times that in the community with the lowest number.Patients of hospital-at-home care had all kinds of diseases,which were mainly common chronic diseases and COVID-19.The top three service items were home sickbed visit,blood/urine/stool test,and dressing change.Conclusion Hospital-at-home care in Jinshan District has gradually produced good effects,but the promotion of the care and the energy efficiency of the service still need to be improved.It is also necessary to strengthen the publicity of h

关 键 词：家庭病床 疾病种类 服务项目 开展现状 

分 类 号：R197[医药卫生—卫生事业管理]