摘要
目的调查护士多点执业平台的应用情况,为护理管理者制订相关政策提供参考。方法调查护士多点执业平台的发展现状,以"医护到家"平台为例,对2017年6月—12月的订单进行分析。结果全国目前共有18个护士多点执业平台。"医护到家"平台共有3 229名护士完成接单服务,其中2 015名(62.4%)护士来自于三级医院;1 976名(61.20%)护士接单不足5次;省会或直辖市的护士开展"上门"服务的次数多于其他城市;30 274名下单用户中,22 661名(74.85%)用户仅下单1次;女性、年龄>50岁以及为他人下单的用户二次下单的次数更多;输液、肌内注射、静脉采血是服务次数最多的3个项目,总计8 644次(77.40%);21 555名(71.2%)用户订单实际服务对象为本人;为他人下单时,2 876名(33.03%)为帮父母下单。结论护士多点执业服务内容亟待规范,开展多点执业的护士大部分来自三级医院,护士多点执业在东部地区、省会或直辖市城市开展较好,女性和中老年用户对居家护理服务需求较大,多点执业平台订单以输液、注射和采血为主,用户多为自己和父母下单。
Objective To investigate the current development of the internet-based nurses＇ multiple-sites practice （IB-NMP） mode,and analyze the current implementation status of this mode. Methods A review of the current development of the IB-NMP was conducted. Data from Homeincare IN CARE platform between June and December 2017 was analyzed. Results A total of 18 NMP internet platforms were piloting this mode. Among whieh,Homein- care was one of the largest platforms. Among 3 229 nurses who complated nursing services on Homeincare plat- form,62.4%（2 015） of nurses come from tertiary hospitals,61.20%（1 976）nurses delivered less than 5 service orders. Compared with nurses from second-line cities,nurses from the provincial capital cities delivered more service orders （P〈0.01）. More than 30 thousand of clients received home care services on this platform,but 74.85%（22 661） clients only placed one service order. Female,clients over 50 years old and those who placed the order for others had a higher proportion of placing the second service order （P〈0.01）. Among those orders placed by others, 33.03%（2 876） were for the clients＇ parents. Infusion,venous blood sampling and injection were the top 3 welcomed services,accounting for 77.40%（8 644） of the total services orders. Conclusion The IB-NMP mode was developed faster in developed cities. Most of the nurse come from tertiary hospitals. Female ,middle-aged and senior groups of people favored this kind of health services. Infusion,injection,and venous blood collection were the main service projects.
作者
任安霁
李现红
罗军飞
张志峰
徐皓
邓海骏
刘立芳
REN Anji;LI Xianhong;LUO Junfei;ZHANG Zhifeng;XU Hao;DENG Haijun;LIU Lifang
出处
《中华护理杂志》
CSCD
北大核心
2018年第10期1218-1223,共6页
Chinese Journal of Nursing
关键词
护士
多点执业
计算机通信网络
Nurses
Multiple-sites Practice
Computer Communication Networks
