0~3岁婴幼儿医-托育一体化模式刍议

Discussion on the integrative model of medical childcare for 0-3years old infants

当今世界各国都十分重视婴幼儿托育照护支持,在我国人口老龄化背景下,低生育率现象得到广泛关注,0~3岁婴幼儿托育问题是托育服务的痛点和难点,也是目前低生育率的重要影响因素之一,国家已出台多项政策指明方向。0~3岁托育阶段以照护为主,具有特殊性,对安全性和专业性要求较高。但目前托育市场缺乏标准,良莠不齐,存在安全隐患。解决这一问题需创新模式,由基层医疗卫生机构参与托育服务,多方合作,明确责任,发挥优势。0~3岁托育工作由国家卫生健康委主管,社区医疗卫生机构具有服务、区位、公立公益、医疗技术、相互支持、安全等多项优势,可派出医生和护士参与托育工作,承担医方责任,以确保质量和安全,有助于建设普惠托育服务体系。

Nowadays,countries all over the world attach great importance to the support of infant care.Under the background of aging population in China,the phenomenon of low fertility rate has received extensive attention.The problem of 0-3 years old infant care is the pain point and difficulty of childcare service,and it is also one of the important influencing factors of low fertility rate at present.Our country has issued a number of policies to point out the direction.Childcare at the age of 0-3 mainly focuses on care,which is special and has high requirements for safety and professionalism.However,there is a lack of standards in the current childcare market,and there are safety risks.To solve this problem,it is necessary to innovate the model,involve community hospitals in childcare services,cooperate with multiple parties,clarify the responsibilities and give full play to the advantages.Childcare work for 0-3 years old is supervised by the National Health Commission.Community hospitals have many advantages,such as service,location,public welfare,medical technology,mutual support and safety.They can send doctors and nurses to participate in childcare work and undertake the responsibility of the medical party to ensure quality and safety,and help build a universal childcare service system.