赴日本参加医院感染管理培训的实践与思考

Practice and reflection on'China-Japan train program focused on infection control in middle-west areas in China

目的分享日本的医院感染管理成功经验,希望为促进我国医院感染管理工作的更大进步提供参考依据。方法参加第六次"中日培养中西部地区医院感染对策领导研修项目"后,结合在日本国立医疗研究中心的培训实践、文献检索及专访记录和新媒体资讯等,思考和梳理了日本在医院感染管理领域的成功优势。结果在国家层面,日本提供给患者就诊所在医院的医疗保险补偿金额,与医院感染管理工作措施条款制定及责任落实相绑定,调动了医院感染管理工作的主动性和积极性;在地区层面,地域性跨机构技术协作同盟模式的推行,对预防和控制医院感染暴发,尤其是预防多药耐药菌的暴发起到了关键作用;在医院层面,医院感染管理工作提升医疗安全保障能力和医院运行效率;在部门层面,强调协调合作。结论培训不仅加深了中日两国人民的友谊,而且有助于双方共同探讨适合我国国情的医院感染管理长效机制;医院感染管理的专业领域工作相互促进和沟通无国界之分。

OBJECTIVE To share successful experience on hospital infection control in Japan,so as to provide reference for greater improvement of hospital infection control in China.METHODS Combined with the practice in the national medical training center in Japan,literature review,personal interviews and information from novel media,the success and advantages on hospital infection management in Japan were discussed and summarized after attending＇the sixth China-Japan train program focused on infection control in middle-west areas in China.RESULTS The success and advantages on hospital infection management in Japan were as the followsily.On the national level,the nation provided medicare compensation to hospitals where patients were treated and the compensation policy was bounded to hospital provisions and implementations of hospital infection management measures,which fully mobilized initiative and enthusiasm in the work of hospital infection management.On the district level,the promotion of the mode of regional cross-institute technical cooperative network played a key role for prevention and control of outbreak of hospital infections,especially for prevention of outbreak of multi-resistant strains.On the hospital level,the medical institutes paid high attention on hospital infection management and considered that the significance of hospital infections was to improve medical security and hospital operational efficacy.On the interior hospital level,emphasis on multi-department collaboration was the main working mode of prevention and control of hospital infections in medical institutes.CONCLUSION Train program is not only a friendship bridge between China and Japan,it is also useful for mutual discussion of long-term management mechanism suitable for infection control in China.It also facilitates mutual improvement of the specific field of hospital infection management and communication as well as international cooperation.