基于枫林社区康复医学科的基层特色专科建设思路及要点探讨

Train of thought for specialty construction in primary care institutions based on experience of rehabilitation service development in Shanghai Fenglin community

社区卫生机构已进入新一阶段的特色专科建设期,枫林社区康复医学科历经12年发展,已成为机构的特色专科。现通过挖掘和分享其建设经验,认为社区特色专科学科建设的思路与应把握的要点,包括定位上应以社区为特色;建设过程上可分解为7个要素的模块化建设,分别是服务体系建设标准操作规程、专科专病医师协作细节宣贯、全科医师防控知识宣贯、社区居民防控知识教育、服务清单、临床疗效评价、临床数据库;后期迭代上,学科建设者应始终主抓服务体系建设标准操作规程和临床数据库建设两个要素,而将其余内容做好团队内部分工。

Community health institutions have entered a new development stage of featured specialty construction.After 12 years of development,rehabilitation medicine now is the featured specialty of Fenglin Community Health Service Center.This article presents the train of thought and key points of specialty construction in primary care institutions based on the Fenglin′s experience.The positioning of featured specialty should be based on the community.The construction process should include 7 elements,namely,the standard operation procedure(SOP)of service system construction,the detailed publicity and implementation of the collaboration of specialists,prevention and control knowledge promotion for general practitioners,prevention and control knowledge education for community residents,service list,clinical efficacy evaluation,and clinical database.In the later iterations,the head of the department should always focus on the service system construction SOP and clinical database construction,and the rest parts can be assigned to the relevant team members.