摘要
目的 了解和评价北京市三级公立医院公共卫生履职情况,为进一步明确医疗机构公共卫生工作的范围和补偿标准提供线索。方法 依据《北京市二级及以上医疗机构公共卫生责任清单(2020版)》设置评估指标,对北京市54家三级公立医院2021年度公共卫生履职情况进行评估。结果 54家三级公立医院中,公共卫生组织管理整体较好;传染病监测与报告、艾滋病规范管理、性病规范诊疗、结核病规范管理、突发公共卫生事件应对处置及健康教育等25项工作开展较好;慢病防治与指导、精神类疾病诊疗服务、儿童死亡防控、食源性疾病监测及职业病危害防治等17项工作开展一般;重点传染病监测与报告、传染病实验室检测、职业病管理服务、妇幼健康服务等8项工作开展不充分。结论 北京市三级公立医院疾病预防控制科科室与人员配置情况整体较好,但工作承担和履职情况存在差异,应进一步明确医疗机构疾病预防控制工作的范围和补偿标准,探索科学、合理的评价机制。
Objective To understand and evaluate the public health performance of tertiary public hospitals in Beijing,in order to provide clues for further clarifying the scope and compensation standards of public health work in medical institutions.Methods According to the"List of Public Health Responsibilities of Secondary and Higher Medical Institutions in Beijing(2020 Edition)",the performance of public health in 54 tertiary public hospitals in Beijing in 2021 was evaluated.Results Among the 54 tertiary public hospitals,the overall management of public health organizations was relatively good.The 25 projects including infectious disease monitoring and reporting,standardized management of acquired immunodeficiency syndrome(AIDS),standardized diagnosis and treatment of sexually transmitted diseases,standardized management of tuberculosis,response to public health emergencies and health education were well carried out.The 17 projects including chronic disease prevention and control,psychiatric disease diagnosis and treatment services,child death prevention and control,foodborne diseases monitoring and occupational disease hazard prevention were carried out generally.The eight projects including monitoring and reporting of key infectious diseases,laboratory testing of infectious diseases,occupational disease management services,and maternal and child health services were not fully carried out.Conclusion The overall allocation of departments and personnel in the disease prevention and control department of tertiary public hospitals in Beijing is good,but there are differences in job responsibilities and performance.It is necessary to further clarify the scope and compensation standards of disease prevention and control work in medical institutions,and explore scientific and reasonable evaluation mechanisms.
作者
李利伟
姜巧巧
赵黔鲁
郭政
LI Liwei;JIANG Qiaoqiao;ZHAO Qianlu;GUO Zheng(Department of Disease Control,Beijing Chuiyangliu Hospital,Beijing 100022,China)
出处
《现代医药卫生》
2023年第13期2246-2252,共7页
Journal of Modern Medicine & Health
关键词
公共卫生
医院
调查
Public health
Hospital
Investigation
