摘要
随着分级诊疗制度的推进及人口老龄化后康复需求的增加,基层卫生服务中心大力发展康复医学服务。目前康复医联体模式是实现康复分级诊疗的主要载体,并在医联体内部实现了多种形式的技术支持。但在基层社区卫生服务中心开展康复医疗工作的初期,仍然存在一些问题,包括患者数量及信任度不足、全科医师的康复专业素质较低、技术帮扶的效果欠佳等,问题核心为社区康复医师短缺与全科医师康复临床经验不足。该研究设计在社区康复临床工作中,应借鉴康复医师规范化培训内容,通过理论培训及社区临床康复实践,使全科医师掌握康复评估的操作、专科病历书写;通过病例讨论、康复家庭病床的管理等形式丰富全科医师康复医疗经验,使得全科医师能够胜任社区康复医师的工作,同时提升社区康复治疗人次及收入。
With the advancement of the hierarchical diagnosis and treatment system and the increase in the demand for rehabilitation after the aging of the population,the primary health service centers have vigorously developed rehabilitation medicine services.At present,the rehabilitation medical alliance model is the main carrier to realize the hierarchical diagnosis and treatment of rehabilitation,and various forms of technical support have been realized within the medical alliance.However,in the early stage of rehabilitation medical work in primary community health service centers,there are still some problems,including insufficient patient number and trust,low rehabilitation professional quality of general practitioners,and poor effect of technical assistance.The key of the problems is the shortage of community rehabilitation physicians and the lack of clinical experience in rehabilitation of general practitioners.The research design should refer to the standardized training content of rehabilitation physicians in the clinical work of community rehabilitation,and enable general practitioners to master the operation of rehabilitation assessment and the writing of speciality medical records through theoretical training and community clinical rehabilitation practice;and enrich the rehabilitation medical experience of general practitioners through case discussions and management of rehabilitation family beds,so that general practitioners can be competent for the work as community rehabilitation physicians,and at the same time the number of people and income of community rehabilitation treatment increase.
作者
范宏娟
周宏图
刘永明
方铭
丁晓燕
Fan Hongjuan;Zhou Hongtu;Liu Yongming;Fang Ming;Ding Xiaoyan(Department of Rehabilitation,Affiliated Hospital of Jiangsu University,Zhenjiang 212001,Jiangsu Province,China;Department of Rehabilitation,Zhenjiang City Jingkou District Sipailou Community Health Service Center,Zhenjiang 212001,Jiangsu Province,China)
出处
《中国社区医师》
2023年第30期164-166,共3页
Chinese Community Doctors
基金
江苏省人口学会开放基金项目(编号:JSPA2019018)。
关键词
社区康复
全科医师
康复能力
培训
Community rehabilitation
General practitioner
Rehabilitative capacity
train
