上海市慢病延续性照护医院-社区联动现况的质性研究

Qualitative study on status quo of hospital-community linkage of continuing care on chronic disease in Shanghai

目的 了解社区管理者对慢病延续性照护医院-社区联动的认识及联动现况.方法 对17名社区卫生服务中心的慢病管理者进行深度访谈,运用Colaizzi 7步分析法对访谈结果进行分析.结果 绝大多数社区慢病管理者对医院-社区联动开展延续性照护的意义持有正性的认识;目前已存在一些医院-社区间联动模式,但总体开展现况一般,仍存在信息传递不畅、社区资源不足、患者认识欠缺等多重制约因素.结论 当前医院-社区慢病延续性照护仍存在受多种阻滞因素的影响而未实现真正的联动,应该进一步针对存在的问题,探寻可行的医院-社区延续性照护联动模式.

Objective To explore community managers＇ awareness of hospital-community linkage of continuing care on chronic disease, and status quo of this linkage.Methods In-depth interview was conducted to 17 chronic disease managers in community health service centers, with the results analyzed by Colaizzi 7-step analyzing method.Results For the significance of carrying out hospital-community linkage of continuing care on chronic disease, most community managers hold a positive opinion. The hospital-community linkage model had come into form, yet in general, it was not carried out satisfactorily, with multiple restrictive factors like blocked information transmission, insufficient community resources, and low awareness of the patients, etc. Conclusions Currently, hospital-community linkage of continuing care on chronic disease is still affected by various kinds of retardant factors, making it difficult to be carried out in real sense. With existing problems taken into consideration, feasible modes on hospital-community linkage of continuing care on chronic disease should be explored.