2017年上海市郊区社区卫生服务机构家庭病床建床现况分析

A survey and analysis on family beds for patients who receive home care services of community health service centers in suburban of Shanghai in 2017

目的对2017年上海市郊区社区卫生服务机构家庭病床建床情况进行调查分析,为进一步完善服务模式提供建议。方法采用回顾性调查的方法,对全市9个郊区的164家社区卫生服务机构进行问卷调查,了解2017年上海市郊区家庭病床服务现状及主要收治患者基本情况。结果①建床率:2017年期初家床8 762张,期内新建家庭床位共22 229张,每社区中心平均建床率为3.728‰,60岁以上老年人新建床位数平均为124张次;②家庭病床在床患者:在床患者共有24 014人次,男性比例大于女性,在床患者以60岁以上老年患者为主,占到总数的94.058%,其中80岁以上高龄老人占45.544%;③上门诊疗人次:上门诊疗总人次为263 280次,平均每中心诊疗人次为1 605人次;④新建床病种:心血管系统疾病患者占总数的55.360%、脑卒中患者占23.397%;⑤撤床患者转归:治愈、稳定、好转的患者比例为89.971%;⑥中医家庭病床建床率:中医家庭病床占家庭病床总数的13.691%。结论加强郊区家庭病床建设,发挥其医疗养老的重要作用;注重家庭医生签约服务,提升家庭病床服务品质;注重中医药服务,提高家庭病床中中医药应用。

Objective To investigate and analyze the situation of family beds for patients who receive home care services of community health service centers in suburban of Shanghai in 2017, and provide suggestions for further improving the service model. Methods A retrospective investigation was performed among 164 community health service agencies in 9 suburbs of Shanghai to investigate the service status of family sickbeds and the basic situation of the main patients admitted. Results ①Bed-building rate: 8 762 beds were there at the beginning of 2017, and 22 229 new beds were built during 2017. The average bed-building rate of each community center was 3.728‰ and 124 beds were built for the elderly over 60 years old.②In-bed patients in family beds: 24 014 patients were in bed, the proportion of men is greater than that of women, with elderly patients over 60 years old accounting for 94.058% of the total, with elderly patients over 80 years old accounting for 45.544%.③Family health services: Total family health services were 263 280, with an average of 1 605 family health services per center;④Disease types of newly built beds: Cardiovascular patients accounted for 55.312%, and stroke patients accounted for 23.423%.⑤Outcomes of patients who have been discharged from bed: 89.971% of patients were cured, stable and improved;⑥ Family Bed-building rate of Traditional Chinese Medicine: The family beds of Chinese medicine accounted for 13.691% of the family beds. Conclusion The government should further strengthen the construction of family beds in the suburbs to play its important role in medical care for the elderly, promote family doctors’ signing services and improve the quality of family bed services. We should also pay more attentions to Chinese medicine services and improve the application of traditional Chinese medicine in family beds.