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开封地区县域医共体背景下提升基层急诊服务能力的路径研究

A study on the path of improving the capacity of grassroots emergency services under the background of county medical community in Kaifeng area

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目的 探讨开封地区县域医共体背景下医共体医院急诊服务能力提升情况,为县域急诊急救建设路径提供实践依据.方法 回顾尉氏县人民医院医共体总医院在下辖医院统一设置急救站点前后接诊的患者为研究对象,以统一急救站前急救车入院的急诊科患者作为对照组,以医共体医院在下辖卫生院统一设置急救站点后急救车入院的急诊科患者作为观察组,对两组急诊患者做对比分析.结果 统一急救站点后两组呼叫120急诊入院的患者组间比较,观察组转运死亡比例(0.02%)显著低于对照组组转运死亡人数比例(0.12%),差异有统计学意义(x2=5.32,P<0.05);观察组1 h到院人数比例(95.99%)显著高于对照组(80.00%),差异有统计学意义(x2=51.44,P<0.05);观察组抢救成功率(95.94%)显著高于对照组(82.77%),差异有统计学意义(x2=542.45,P<0.05).结论 县域医共体背景下医共体总医院在下辖医院统一设置急救站点可以有效提升基层医院急诊服务能力,为逐步完善医共体医院急诊急救体系建设提供路径参考.
Objective To investigate the improvement of emergency service capacity of medical community hospitals under the background of county medical community in Kaifeng area,and to provide practical basis for the construction of county emergency treatment.Methods A comparison was made of the patients received by the General Hospital of the Medical Community of Weishi County People's Hospital before and after the unified setting of the emergency station in the hospitals under its jurisdiction,the emergency department patients admitted by the ambulance in front of the unified first aid station as the control group,and the emergency department patients admitted by the ambulance after the unified setting of the emergency station in the health center of the medical community as the observation group,and the two groups of emergency patients were compared and analyzed.Results Compared between the two groups of patients admitted to the emergency department after the unified emergency station,the proportion of transport deaths in the observation group(0.02%)was significantly lower than that in the control group(0.12%),and the difference was statistically significant(x2=5.32,P<0.05).The proportion of hospital visitors in the observation group at 1 hour(95.99%)was significantly higher than that in the control group(80.00%),and the difference was statistically significant(x2=51.44,P<0.05).The rescue success rate of the observation group(95.94%)was significantly higher than that in the control group(82.77%),and the difference was statistically significant(x2=542.45,P<0.05).Conclusion Under the background of county medical community,the general hospital of medical community can effectively improve the emergency service capacity of grassroots hospitals,and provide a path reference for gradually improving the construction of medical community and strengthening the emergency first aid work at the grassroots level.

Medical communityGrass rootsService capabilitiesPath

马汤力、王绍谦、张冬惠、孔静、郭春立

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开封市人民医院急诊科,河南开封 475000

尉氏县人民医院急诊科,河南开封 475000

医共体 基层 服务能力 路径

开封市科技发展计划项目

2204086

2024

中国急救复苏与灾害医学杂志
中国医学救援学会

中国急救复苏与灾害医学杂志

CSTPCD
影响因子:0.568
ISSN:1673-6966
年,卷(期):2024.19(1)
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