门急诊服务敏感疾病住院:概念、识别及政策启示
Hospitalization for Ambulatory Care Sensitive Conditions:Concept,Identification and Policy Implications
卢珊 1张研 1王健健 2潘杰2
作者信息
- 1. 430030 湖北省武汉市,华中科技大学同济医学院医药卫生管理学院;430030 湖北省武汉市,湖北省人文社科重点研究基地农村健康服务研究中心
- 2. 610041 四川省成都市,四川大学华西公共卫生学院/华西第四医院;610041 四川省成都市,四川大学健康城市发展研究中心/西部农村卫生发展研究中心
- 折叠
摘要
门急诊服务(包括基层医疗卫生机构、医院和其他医疗卫生机构的门诊和急诊服务)的可及性和质量决定了卫生服务系统的整体运行效率和居民健康,同时门急诊服务也是老龄化社会中持续性服务的核心组成部分.美国学者于 20 世纪 90 年代提出门急诊服务敏感疾病(ACSCs)的概念,此后,门急诊服务敏感疾病住院(ACSH)被广泛应用于评价门急诊服务的可及性和质量.近年来,有关ACSH的研究逐渐受到各国学者的关注与重视,我国的初步研究证据也显示该问题不应被忽视.本文首先介绍ACSH的概念缘起,然后对ACSH、可避免住院、不合理入院等目前学界尚在混用的概念进行辨析,并系统梳理国际上ACSH的前沿识别标准,最后结合国内外研究进展讨论ACSH这一指标的政策价值,明确识别我国ACSCs应注意的问题,并提出减少ACSH的策略建议.
Abstract
The accessibility and quality of ambulatory care(including outpatient and emergency services in primary care facilities,hospitals and other healthcare facilities)determine the efficiency of overall health care system and population health.Ambulatory care is also the core component of continuing care in an aging society.The concept of ambulatory care sensitive conditions(ACSCs)was firstly introduced by American researchers in 1990s.Since then,hospitalization for ambulatory care sensitive conditions(ACSHs)was widely used to evaluate the accessibility and quality of ambulatory care.In recent years,research on ACSH has gradually attracted the attention of scholars from all over the world,and preliminary research evidence from China indicated that the issue should not be ignored.This paper firstly introduces the origin of the concept of ACSH,then identifies the mixing concepts such as ACSH,avoidable hospitalization and inappropriate hospital admission,systematically summarizes the cutting-edge international identification criteria of ACSH,and finally discusses the policy value of ACSH as an indicator in the context of domestic and international research advances,clarifies the problems that should be noted in the identification of ACSCs in China,proposes strategies to reduce ACSH.
关键词
门急诊服务敏感疾病/门急诊服务敏感疾病住院/可避免住院/门急诊服务/院外服务/基层医疗卫生服务Key words
Ambulatory care sensitive conditions/Hospitalization for ambulatory care sensitive conditions/Preventable hospitalizations/Ambulatory and emergency care/Out-of-hospital services/Primary health services引用本文复制引用
基金项目
国家自然科学基金青年基金(72104086)
国家自然科学基金面上项目(72074163)
中央高校基本科研业务费专项(HUST:2021WKYXQN023)
盖茨基金会项目(OPP1178967)
出版年
2024
国家科技期刊平台
NSTL
万方数据