中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2014年
35期
4227-4229
,共3页
陈开红%呼冬鸣%朱庆生%赵杨子%王琳琳
陳開紅%呼鼕鳴%硃慶生%趙楊子%王琳琳
진개홍%호동명%주경생%조양자%왕림림
急救医疗服务%社区卫生服务%入院前急救
急救醫療服務%社區衛生服務%入院前急救
급구의료복무%사구위생복무%입원전급구
Emergency medical services%Community health services%Prehospital emergency care
院前急救是公共卫生服务的重要组成部分,是急救医学体系最初和最重要的一环。本文介绍了北京市朝阳区急救社区化建设过程,其将急救站建立在辖区每个街乡的卫生服务机构,将社区院前急救和紧急医疗救援职能纳入公共卫生服务项目,在结构和功能上弥补了社区卫生服务机构急救体系发展的短板,把急救服务带到百姓身边,提升了社区卫生服务机构的急诊救护能力;将政府经费投入、人员编制划拨、绩效考核评价等一并纳入基本公共卫生服务项目中,给予全面的体制机制保障;达到了缩短急救反应时间、缩小急救反应半径、降低医疗费用、节约医疗资源、提高救治效率的建设目标,有效缓解了院前急救人员“招聘难、留住难”的瓶颈问题,以及超龄院前急救从业人员后续转归问题。为院前急救事业的可持续、健康发展提供了一条可借鉴的途径。
院前急救是公共衛生服務的重要組成部分,是急救醫學體繫最初和最重要的一環。本文介紹瞭北京市朝暘區急救社區化建設過程,其將急救站建立在轄區每箇街鄉的衛生服務機構,將社區院前急救和緊急醫療救援職能納入公共衛生服務項目,在結構和功能上瀰補瞭社區衛生服務機構急救體繫髮展的短闆,把急救服務帶到百姓身邊,提升瞭社區衛生服務機構的急診救護能力;將政府經費投入、人員編製劃撥、績效攷覈評價等一併納入基本公共衛生服務項目中,給予全麵的體製機製保障;達到瞭縮短急救反應時間、縮小急救反應半徑、降低醫療費用、節約醫療資源、提高救治效率的建設目標,有效緩解瞭院前急救人員“招聘難、留住難”的瓶頸問題,以及超齡院前急救從業人員後續轉歸問題。為院前急救事業的可持續、健康髮展提供瞭一條可藉鑒的途徑。
원전급구시공공위생복무적중요조성부분,시급구의학체계최초화최중요적일배。본문개소료북경시조양구급구사구화건설과정,기장급구참건립재할구매개가향적위생복무궤구,장사구원전급구화긴급의료구원직능납입공공위생복무항목,재결구화공능상미보료사구위생복무궤구급구체계발전적단판,파급구복무대도백성신변,제승료사구위생복무궤구적급진구호능력;장정부경비투입、인원편제화발、적효고핵평개등일병납입기본공공위생복무항목중,급여전면적체제궤제보장;체도료축단급구반응시간、축소급구반응반경、강저의료비용、절약의료자원、제고구치효솔적건설목표,유효완해료원전급구인원“초빙난、류주난”적병경문제,이급초령원전급구종업인원후속전귀문제。위원전급구사업적가지속、건강발전제공료일조가차감적도경。
Pre-hospital care,an important part of public health services,is the first and the most important part of e-mergency medical system. In the construction of community-based first aid in Chaoyang district,it set up first-aid stations in health services in the area,enrolled community-based pre-hospital emergency and emergency medical rescue in public health services,which made up for the shortcomings of first-aid system development of community health services and improved their capability. Government funding,staffing allocation,performance appraisal and so on were internalized in public health services to give a comprehensive system and mechanism guarantee. It reached the building goal of shortening emergency time,reduced re-sponse radius,decreased medical costs,saved medical resources and improved emergency efficiency,thus to effectively alleviate the bottleneck problem" The recruiting and retaining of pre-hospital emergency personnel are difficult",which provided a way to learn for sustainable development of the cause of pre-hospital emergency.