基于(1+1+N)紧密型医联体模式下的广州市白云区卒中防治

Stroke prevention and treatment in Baiyun District based on the(1+1+N)compact medical consortium model

目的探索老龄化形势下广州市白云区西部卒中防治工作的新模式。方法通过完善组织结构、管理架构、建立稳定高效运行的(1+1+N)紧密型医联体模式,创建优质高效的卒中救治区域联盟,实现高质量的基层首诊,双向转诊,快速响应的卒中绿道急救和全程管理。结果初步完成构建广州市白云区西部区域性卒中救治中心,区域内卒中患者及时救治,溶栓效率,血管再通等均有显著提升,整体提升白云区西部医疗机构的卒中救治水平。结论区域性的协同救治是提高卒中救治水平的重要举措。(1+1+N)紧密型医联体模式能提高卒中患者救治率,具有可行性和必要性。

Objective To explore the effectiveness of a new stroke prevention and treatment pattern in the western part of Baiyun District,Guangzhou city,under an aging situation.Method We aim to build a high-quality and efficient stroke treatment regional alliance based on a(1+1+N)compact medical consortium,expecting to improve the overall abilities of stroke treatment in the western part of Baiyun District through high-quality primary care,two-way referrals,rapid response to stroke greenway emergency and full-process management.Results We have initially established a regional stroke treatment center in the western part of Baiyun District,Guangzhou.Stroke patients in that region can be treated in time,and the efficiency of thrombolysis and vascular recanalization have been significantly improved.Conclusion Regional coordinated treatment is an effective measure to reduce the disability and fatality rate of stroke.The(1+1+N)compact medical consortium model can improve the treatment effect in stroke patients,which is feasible and necessary.