上海市示范性社区康复中心的建设现状分析

Analysis of the construction status of demonstration community rehabilitation centers in Shanghai

目的了解上海市示范性社区康复中心的建设现状,为上海市制定社区康复政策提供参考。方法调查上海市119家示范性社区康复中心的基础建设、设施设备、人力资源、服务提供等情况,对比分析建设前后的相关数据。结果上海市119家示范性社区康复中心治疗区平均面积587.4 m^(2),共有床位2671张;每家中心平均配置康复医师10.8名、康复护士2.9名、康复治疗师5.9名。119家示范性社区康复中心中,93.3%建有门诊康复信息模块,73.9%能自动采集康复服务中产生的信息数据,47.1%可将康复服务数据与居民健康档案联通,38.7%可将康复服务数据与医疗联合体内上级医疗机构联通。2023年,119家示范性社区康复中心共提供各类康复服务969.1万人次,主要为门诊康复(531.5万人次)、住院康复(270.4万人次)、站点康复(159.2万人次)。结论示范性社区康复中心建设虽取得较大进步,但仍以传统康复服务为主,且存在明显区域差异。建议进一步加强社区康复体系建设、充实人员队伍、丰富社区服务内涵,同时深化信息化建设,从而提升社区康复服务能级。

Objective To understand the current situation of the construction of demonstration community rehabilitation centers in Shanghai and provide insights for the formulation of community rehabilitation policies in the city.Methods This study investigated the infrastructure,facilities,equipment,human resources,and service provision of 119 demonstration community rehabilitation centers in Shanghai,and compared relevant data before and after construction.Results The average treatment area of these in Shanghai was 587.4 m^(2),with a total of 2671 beds.On average,each center is equipped with 10.8 rehabilitation physicians,2.9 rehabilitation nurses,and 5.9 rehabilitation therapists.Among the 119 centers,93.3%have outpatient rehabilitation information modules,73.9%can automatically collect information data generated in rehabilitation services,47.1%can link rehabilitation service data with residents’health records,and 38.7%can connect rehabilitation service data with superior medical institutions in the integrated health care system.In 2023,these centers provided a total of 9.691 million rehabilitation visits,including outpatient rehabilitation(5.315 million),inpatient rehabilitation(2.704 million),and site-based rehabilitation(1.592 million).Conclusions Although significant progress has been made in the construction of demonstration community rehabilitation centers,traditional rehabilitation services still dominate,and there are notable regional disparities.It is recommended to further strengthen the community rehabilitation system,expand the workforce,enhance community service offerings,and advance informatization to improve the level of community rehabilitation services.