摘要
目的:探索构建医联体视域下“医院-社区-居家”安宁疗护服务模式并运行实践,以促进本地区安宁疗护学科发展。方法:通过明确医联体内各级医疗机构在安宁疗护实践中的功能定位,组建安宁疗护多学科团队,在医联体视域下逐步构建形成“医院-社区-居家”安宁疗护服务模式。在此过程中,通过安宁疗护服务同质化管理、转介管理、科普宣传等方式,推动该服务模式的运行。结果:目前在医联体范畴内共有18家医疗机构,其中的三级医院、二级医院、社区卫生服务中心均有1家已开展安宁疗护服务,累计服务1.21万余人次,“医院-社区-居家”双向转介100余人次;累计培训5200余人次。结论:构建的医联体视域下“医院-社区-居家”安宁疗护服务模式切实可行,可为推进区域内安宁疗护协同发展、探索构建适合我国国情的安宁疗护服务模式提供参考。
Objective:Explore the construction and operation of the"hospital-community-home"hospice care service mode within the medical alliance,in order to promote the development of hospice care disciplines in the local area.Methods:By clarifying the functional positioning of medical institutions at all levels in the practice of hospice care and forming a multidisciplinary hospice care team,our hospital gradually constructed"hospital-community-home"hospice care services mode within the medical alliance.In the process,the"hospital-community-home"hospice care service mode was promoted to operate through homogenization management,referral management,and science popularization promotion of hospice care services.Results:At present,there is one tertiary hospital,one secondary hospital and one community health service center that have carried out hospice care services in the medical alliance of 18 medical institutions of different levels.The cumulative number of people served by hospice care has exceeded 12,100,among which more than 100 were referred to other institutions within the medical alliance.Moreover,the cumulative number of trainees has exceeded 5,200.Conclusion:The"hospitalcommunity-home"hospice care service mode constructed within the medical alliance is practical and feasible,providing a reference for promoting the collaborative development of regional hospice care and exploring the establishment of the mode of hospice care service suitable for our country.
作者
谢沛英
应文娟
伍艳春
刘智利
郑锐华
李晓敏
XIE Peiying;YING Wenjuan;WU Yanchun;LIU Zhili;ZHENG Ruihua;LI Xiaomin(School of Nursing,Shantou University Medical College,Shantou,Guangdong province,515041,China)
出处
《中国护理管理》
CSCD
2023年第11期1668-1672,共5页
Chinese Nursing Management
基金
2020年李嘉诚基金会交叉研究项目(2020LKSFG10B)。
关键词
医联体
医院-社区-居家
安宁疗护
实践
medical alliance
hospital-community-home
hospice care
practice
