南宁市城市医疗集团传染病防治管理体系构建研究  

Development of an infectious disease prevention and control management system within Nanning urban medical groups

作　　者：陈婷婷 陈栏心 蒋超 方芳[1] 陈念 CHEN Tingting;CHEN Lanxin;JIANG Chao;FANG Fang;CHEN Nian(Nanning First People’s Hospital,Nanning 530022,China)

机构地区：[1]南宁市第一人民医院,广西南宁530022

出　　处：《现代医院》2025年第2期298-301,共4页Modern Hospitals

基　　金：广西疾病预防控制研究课题(GXJKKJ24Z002);南宁市科技计划基金(20243049);南宁市青秀区科学技术基金(2020059)。

摘　　要：医疗集团是城市多家各级医疗机构的责任共同体,集团化管理可以帮助构建和完善区域内医疗机构的传染病防治网络,提升城市的公共卫生水平。本研究中南宁市城市医疗集团通过构建完善的组织架构、实施标准化管理策略、推进信息化建设、加强人员培训、建立“全专结合”联动机制以及提供远程辅助服务等措施,聚焦于医疗集团的传染病防治管理体系建设,成功实现了集团内各级医疗机构在传染病人员、场地及管理方面的同质化提升,传染病上报及时率由97.25%提升至99.93%,漏报率则由0.25%降至0.00%,上报完整率达到100.00%;同时,分级诊疗制度得到了有效推动,集团重点传染病病种的对外转诊率也由47.19%降低至17.43%,疾病处置与救治能力显著增强。通过建设,医疗集团的传染病防治管理体系规模初具,为区域内构建分级、分层、分流的重大疫情救治体系奠定了坚实的基础,并为传染病学科建设的健康发展提供了动力。A medical group functions as a network of responsibility among various medical institutions within an urban setting.Group management aids in constructing and refining the region’s infectious disease prevention and control network,enhancing the public health level of the city.This article examined the development of an infectious disease prevention and control management system within the medical group.By implementing a comprehensive organizational framework,standardizing standardized management protocols,advancing information technology infrastructure,enhancing personnel training,promoting collaboration between hospital specialists and primary care practitioners,and offering remote support services,the group achieved consistent improvements in the management of infectious disease personnel,facilities,and protocols across all tiers.The rate of timely reporting rate for infectious diseases increased from 97.25% to 99.93%,while the under-reporting rate decreased from 0.25% to 0.00%,resulting in a reporting completeness rate of 100.00%.Furthermore,the introduction of a hierarchical diagnosis and treatment system led to a reduction referrals for key infectious diseases from 47.19% to 17.43%,thereby significantly enhancing disease management and treatment capabilities.Through this construction,the scale of the medical group’s infectious disease prevention and control management system has begun to take shape,laying a solid foundation for the construction of a graded,comprehensive,and major epidemic response system in the region,and providing momentum for the healthy development of the construction of the infectious disease discipline.

关 键 词：医疗集团 传染病防治 卫生管理 实践研究 

分 类 号：R197.32[医药卫生—卫生事业管理] R184[医药卫生—公共卫生与预防医学]