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上海市长宁区虹桥街道社区卫生服务中心家庭病床服务现状分析

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目的:通过对上海市长宁区虹桥街道社区卫生服务中心家庭病床患者服务现状进行调查分析,以探讨家庭病床服务在社区养老体系中的作用与现状.方法:采用回顾性调查方法,对2020-2023年虹桥街道社区卫生服务中心建立的家庭病床情况进行调查.结果:2020-2023年虹桥街道社区卫生服务中心家庭病床数分别为465张、498张、324张、446张,共计1 733张,建床数除了2022年因疫情原因明显下降外,其他年份建床数增幅在6.4‰~7.2‰之间;中医床位数分别为158张、187张、116张、151张,中医床位数占比均在30%以上.家庭病床患者年龄为52~103岁,中位年龄为88.5岁;以慢性病患者为主,高血压患者占比最高(40.8%),其次为心血管疾病患者(30.8%)和脑血管病患者(12.6%),此外居家安宁疗护患者占2.3%.虹桥街道社区卫生服务中心家庭病床医生共15人、护理人员8人,均为兼职开展家庭病床工作.结论:家庭病床服务在慢性病管理中扮演着重要角色,未来还需要通过完善相应的法律法规、加快专业人才队伍的建设、完善对医务人员的激励机制、不断创新和拓展服务内容等方式进一步完善和促进家庭病床服务全面发展.
Investigation on the Current Situation of Home Hospital Bed Service in Hongqiao Community Health Service Center in Changning District of Shanghai
OBJECTIVE Based on the investigation and analysis of the current situation of home bed patient service in Hongqiao Community Health Service Center in Changning District of Shanghai,the role and current situation of home bed service in the community pension system were discussed.METHODS A retrospective survey was conducted to investigate the home-based hospital beds provided by the Hongqiao Community Health Service Center from January 2020 to December 2023,including the patients'basic information,disease types,and medical personnel.RESULTS From 2020 to 2023,the number of home-based hospital beds in Hongqiao Street Community Health Service Center were 465,498,324,and 446 respectively,totaling 1 733 beds.The number of beds established decreased significantly in 2022 due to the epidemic,but in other years,the number of beds established was between 6.4‰ and 7.2‰.The number of traditional Chinese medicine beds were 158,187,116,and 151 respectively,accounting for more than 30%.The age distribution of patients ranged from 52 to 103 years old,with a median age of 88.5 years old.The main diseases in this community were chronic diseases,with hypertension being the highest(40.8%),followed by cardiovascular diseases(30.8%)and cerebrovascular diseases(12.6%).In addition,patients receiving home-based palliative care accounted for 2.3%.There are a total of 15 doctors and 8 nursing staff in our center who are part-time engaged in home-based hospital bed work.CONCLUSION Home-based hospital bed services play an important role in the management of chronic diseases.In the future,it also needs to further improve and promote the comprehensive development of Home-based hospital bed services by improving the corresponding laws and regulations,accelerating the construction of professional talents,improving the incentive mechanism for medical staff,and continuously innovating and expanding service content.

home-based hospital bed servicescommunity service for the agedprimary community

葛臻、程頲

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上海市长宁区虹桥街道社区卫生服务中心,上海 200051

家庭病床 社区养老 基层社区

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)