我国呼吸与危重症医学科室规范化建设项目的设计与实践

Design and practice of standardized construction project for pulmonary and critical care medical departments in China

以慢性阻塞性肺病、支气管哮喘、肺癌等为代表的慢性非传染性呼吸系统疾病以及病毒性肺炎、肺结核等呼吸道传染性疾病的发病和防治形势日趋严峻复杂,只有捆绑交融式构建呼吸与危重症医学(PCCM)的现代呼吸学科建制体系及开展医院PCCM科室的规范化管理,才是建立健全我国呼吸系统疾病整体专科能力建设,促进综合防治能力提质增效的必由之路。文章介绍了在现代呼吸学科新格局发展背景下,以医院PCCM科室为载体的规范化建设项目方案设计及实践探索,重点阐述了项目的发起与管理、评审标准制订、认定流程与等级划分、阶段性成效,并从经验启示、存在问题及建议等方面进行了讨论,以期为完善我国呼吸专科能力建设以及其他医学学科和专科高质量发展提供参考。

The incidence and prevention of chronic non-communicable respiratory diseases represented by chronic obstructive pulmonary disease,bronchial asthma,and lung cancer,as well asrespiratory communicable diseases such as viral pneumonia and tuberculosis,are becoming increasingly severe and complex.Only by constructing the modern respiratory discipline system of pulmonary and critical care medicine(PCCM)and developing the standardized management of PCCM departments in the hospital,could we achieve the goal of establishing overall specialized capacity for respiratory diseases and improving the ability of disease prevention and treatment in China.This article introducedthe project design and practice exploration based on the standardized construction of PCCM department in hospital,in the context of the new pattern of modern respiratory discipline.It focused on project initiation and management,formulation of evaluation standards,identification process and grading,and phased effectiveness.It also discussed and analyzed the experience,enlightenment,existing problems and suggestions,which could provide reference and advance experience for innovation,governance and improvement of capacity building of respiratory specialty and high-quality development of other medical disciplines and specialties in China.