摘要
院前急救是公共卫生服务的重要组成部分,是急救医学体系最初和最重要的一环。本文介绍了北京市朝阳区急救社区化建设过程,其将急救站建立在辖区每个街乡的卫生服务机构,将社区院前急救和紧急医疗救援职能纳入公共卫生服务项目,在结构和功能上弥补了社区卫生服务机构急救体系发展的短板,把急救服务带到百姓身边,提升了社区卫生服务机构的急诊救护能力;将政府经费投入、人员编制划拨、绩效考核评价等一并纳入基本公共卫生服务项目中,给予全面的体制机制保障;达到了缩短急救反应时间、缩小急救反应半径、降低医疗费用、节约医疗资源、提高救治效率的建设目标,有效缓解了院前急救人员"招聘难、留住难"的瓶颈问题,以及超龄院前急救从业人员后续转归问题。为院前急救事业的可持续、健康发展提供了一条可借鉴的途径。
Pre-hospital care,an important part of public health services,is the first and the most important part of emergency medical system. In the construction of community-based first aid in Chaoyang district,it set up first-aid stations in health services in the area,enrolled community-based pre-hospital emergency and emergency medical rescue in public health services,which made up for the shortcomings of first-aid system development of community health services and improved their capability. Government funding,staffing allocation,performance appraisal and so on were internalized in public health services to give a comprehensive system and mechanism guarantee. It reached the building goal of shortening emergency time,reduced response radius,decreased medical costs,saved medical resources and improved emergency efficiency,thus to effectively alleviate the bottleneck problem ＂ The recruiting and retaining of pre-hospital emergency personnel are difficult＂,which provided a way to learn for sustainable development of the cause of pre-hospital emergency.
出处
《中国全科医学》
CAS
CSCD
北大核心
2014年第35期4227-4229,共3页
Chinese General Practice
关键词
急救医疗服务
社区卫生服务
入院前急救
Emergency medical services
Community health services
Prehospital emergency care
