公立医院改革进程中开展延续护理服务的SWOT分析

SWOT-analysis on caring for the patients continuously in medical reform to public hospital

目的探讨公立医院改革进程中开展延续护理服务的机遇与挑战，提出相应策略并持续跟踪改进，为政策制定提供依据和参考。方法运用SWOT分析法对延续护理服务的优势、劣势、机遇、威胁进行全面评估。结果借助国家相关政策和扶持措施，跨专业多学科合作有序开展，强化优势、弱化劣势、正视威胁、应对挑战，初步得到认同与赞许。结论大型公立医院在急慢分治和分层级医疗体系建设方面，应充分多种发挥资源优势，走出医院围墙，辐射引领和规范推进医疗、康复、养老一体化的延续护理专业服务，使医院、专科、家庭和社会均受益。

Objective To explore the opportunities and challenges which COC （continuity of care） has been facing, some strategies were proposed and improved continuously during the process of deepening medical reform in public hospital, and at the same time to supply reference for government to make relative policy. Methods By SWOT-analysis, the strengths, weaknesses, opportunities as well as threats of COC in medical reform were analyzed comprehensively. Results Depending on national relevant policies, supportive measures, the cooperation from mu｜tidiscipiinary team was improved. A｜ong with strategies of strengthening advantages, weakening disadvantages, meeting challenges and facing up to threat. COC had be approved and consented initially. Conclusions Public hospitals should demonstrate their various re- sources and make full use of their advantages, then guide and solid grass-roots in the new heahhcare system which integrate medical, rehabilitation and elderly nursing out of the hospital. It must benefit the hospital, specialized subject, family and society.