首页|上海市浦东新区社区家庭病床服务现状调查与对策研究

上海市浦东新区社区家庭病床服务现状调查与对策研究

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目的:通过调查了解上海市浦东新区家庭病床服务现状,发现家庭病床服务存在的问题及挑战,并提出解决对策.方法:采用问卷调查法,收集2019-2021年浦东新区47家社区卫生服务中心家庭病床服务开展情况,采用频数、构成比等进行描述性分析,采用χ2检验进行统计分析.结果:2019-2021年浦东新区家庭病床平均建床率为1.80‰,其中城区平均建床率高于其他区域;从事家庭病床服务的医师以兼职为主,全科医师占比最大;2019-2021年家庭病床平均床日数变化不大,家庭病床平均费用呈下降趋势;中医家庭病床占比分别为9.93%、11.49%、15.89%,呈逐年上升趋势;心血管疾病是区域内家庭病床服务的主要收治病种.结论:家庭病床服务的逐步发展需要发挥政策主导作用,与家庭医生签约服务整合共同发力,利用智慧信息技术,优化家庭病床服务流程,凸显中医药服务优势,助推社区卫生服务能力提升.
Investigation and Countermeasure Research on the Status Quo of Community Family Sickbed Service in Pudong New Area of Shanghai
OBJECTIVE By investigating the current situation of family bed service in Pudong New Area of Shanghai,to summarize and analyze the problems and challenges of family bed service,and put forward countermeasures.METHODS A questionnaire survey was used to collect the service provision of family beds in Pudong New Area from 2019 to 2021,and the frequency and composition ratio were used for descriptive analysis,and χ2 test was used for statistical analysis.RESULTS From 2019 to 2021,the average bed construction rate of family beds in Pudong New Area was 1.80‰,and the average bed construction rate of urban areas was higher than that of other areas.The majority of doctors engaged in home bed service were part-time doctors,and the proportion of general practitioners was the largest.From 2019 to 2021,the average number of bed days of family beds did not change much,and the average cost of family beds showed a downward trend,and the proportion of family beds was 9.93%,11.49%and 15.89%,respectively,showing an increasing trend year by year.Cardiovascular diseases were the main treatment category for home bed services in the region.CONCLUSION The gradual development of home bed service needs to bring into play the leading role of policy,integrate with contracted service,utilize intelligent information technology,optimize the service process of home bed service,and highlight the advantages of Traditional Chinese Medicine service,to promote the capacity of community health services.

family sickbeddiseases speciesgeneral practitionerTraditional Chinese Medicine serviceamount of family beds

黄倩、张胜冰、刘姗姗、丁燕

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上海市浦东新区潍坊社区卫生服务中心,上海 200122

上海市浦东卫生发展研究院,上海 200129

家庭病床 病种种类 全科医师 中医药服务 建床情况

2025

中国初级卫生保健
中国初公卫生保健基金会,黑龙江省农村卫生协会

中国初级卫生保健

影响因子:0.389
ISSN:1001-568X
年,卷(期):2025.39(1)