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分级健康管理服务模式在家庭病床的应用研究

An Application Research of Hierarchical Health Management Service Model in Family Sickbeds

Theory and Practice of Social Work / 2020,2(3): 101-116 / 2020-08-04 938 1084

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• Authors: 曾国清¹      闫安¹      欧佳¹      蒋利辉¹      潘星亮¹      熊仁春¹      钟红梅¹      张珍¹      吴美红¹      明兰真¹²³⁴⁵⁶*     
• Information:

  1．深圳市罗湖医院集团，深圳；
  2．河北省计划生育科学技术研究院，石家庄；
  3．国家卫生健康委员会计划生育与优生重点实验室，石家庄；
  4．河北省生殖医学重点实验室，石家庄；
  5．河北静亮健康管理有限公司，石家庄；
  6．石家庄市德耀职业培训学校，石家庄

• Keywords: Family sickbed; Hierarchical health management; Family sickbed health management routine; Job process; Health manager level 家庭病床；分级健康管理；家庭病床健康管理常规；岗位流程；健康 管理师层级
• Abstract: Family sickbeds are an effective way for the gain accessibility of regular medical care and health management services in the form of community health services. Community health management has become a key component of the basic national public health service program. Community health service centers are important bases and platforms for health management services, however, now, the relevant policy documents issued by the Ministry of Health only include the form of family sickbed services in the content of community health services. In addition, health management services in community health services are not subject to uniform standards, and the relevant standards are not defined. In medical work, the focus is on “treatment” rather than the “prevention”, and the implementation of “preventive health care” work depends purely on the individual ability and subjective will of the team of general practitioners. There is still a lack of continuation services such as health interventions other than systematic medical examinations and even if the continued service exists, such a service is not systematic, comprehensive, in-depth or normative. As a result, it is imperative to explore a forward-looking health intervention model. Under the background of Luohu medical reform, the author explored and practiced the application of the hierarchical health management service model in family sickbeds, using family sickbeds in the community health service center on Liantang Street under Luohu Hospital Group. The paper also introduces the health management routines, levels, job process systems and the hierarchical work content and technical requirements of health managers in family sickbeds, so as to provide a reference for the standardized management of family sickbeds in community health management services and the professional construction and development of community health management. 家庭病床是社区卫生服务形式中正规医疗与健康管理服务可及性的有 效方法，社区健康管理已是国家基本公共卫生服务项目的重点内容，社区卫生 服务中心是健康管理服务的重要基地和平台，但是，截止目前，卫生部出台的 有关政策文件仅限于在有关社区卫生服务内容中包含了家庭病床服务形式，而 社区卫生服务中健康管理服务并没有受到统一规范，相关标准也不明确，工作 中仍重“医”轻“防”，“预防保健”等工作全凭全科医生团队中个人能力与 主观意愿开展或不开展，且提供系统的体检以外的健康干预等延续服务尚较缺 乏，即便有开展了延续服务的也还不系统、全面、深入和规范，探索一种前瞻 性的健康干预模式已势在必行。作者在罗湖医改的背景下，以罗湖医院集团莲 塘街道社康家庭病床为基地，探索与实践了分级健康管理服务模式在家庭病床 中的应用。并详细介绍了家庭病床中健康管理常规、级别、岗位流程制度和健 康管理师的层级工作内容与技术要求，旨在为社区健康管理服务在家庭病床中的规范化管理以及社区健康管理专业化建设与发展提供参考。
• DOI: https://doi.org/10.35534/tpsw.0203014
• Cite: 曾国清，闫安，欧佳，等．分级健康管理服务模式在家庭病床的应用研究［J］．社区工作理论与实务，2020，2（3）：101-116．
  https://doi.org/10.35534/tpsw.0203014