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中国全科医学 ›› 2020, Vol. 23 ›› Issue (10): 1199-1201.DOI: 10.12114/j.issn.1007-9572.2020.00.324

所属专题： 呼吸疾病文章合辑； 新型冠状病毒肺炎最新文章合辑； COVID-19疫情防控研究

• 专题研究 •    下一篇

新型冠状病毒肺炎疫情下的基层医疗卫生发展策略

傅卫，秦江梅*，黄二丹，苗艳青，张艳春，张丽芳   

  1. 100044北京市，国家卫生健康委卫生发展研究中心
    *通信作者：秦江梅，研究员；E-mail：qinjm@nhei.cn
  • 出版日期:2020-04-05 发布日期:2020-04-05

Developing Strategies for Primary Healthcare in Times of Epidemic of COVID-19　

FU Wei，QIN Jiangmei*，HUANG Erdan，MIAO Yanqing，ZHANG Yanchun，ZHANG Lifang   

  1. China National Health Development Research Center，Beijing 100044，China
    *Corresponding author：QIN Jiangmei，Professor；E-mail：qinjm@nhei.cn
  • Published:2020-04-05 Online:2020-04-05

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摘要： 基层医疗卫生机构是新型冠状病毒肺炎疫情防控的“网底”，加强基层新型冠状病毒感染防控工作，提升基层医疗卫生机构服务提供和疫情应对能力，对全国疫情控制工作至关重要。本文通过实地调研，检索国家及各地卫生健康委官方网站疫情防控相关信息，梳理了基层医疗卫生机构在疫情时期发挥的重要作用，并提出疫情平战结合时期基层卫生工作重点，以及今后基层医疗卫生发展策略。针对疫情的复杂形势，目前基层医疗卫生机构应重点做好社区疫情防控、协助开展医疗救治服务、做好常规诊疗服务和公共卫生服务、做好医疗安全和院感防控、充分发挥好县域医共体作用五方面工作。同时，针对疫情应对和基层“短板”，提出今后基层医疗卫生发展策略：加强全科医生制度和分级诊疗制度建设；增强基层医务人员对重大疫情的预警灵敏性、报告及时性和应急处置能力；充分利用人工智能、信息技术工具等手段，持续加强基层信息化建设和应用；推进医联体、医共体建设，探索医防融合的有效模式；大力开展爱国卫生运动，强化群防群控机制，做好健康社区健康乡村建设。

关键词: 新型冠状病毒肺炎, 冠状病毒感染, 疫情, 初级卫生保健, 基层医疗卫生机构, 发展策略

Abstract: Primary healthcare settings are the control and prevention network basis of COVID-19 epidemic.So improving COVID-19 control and prevention，service delivery and response levels of these institutions is crucial to the national epidemic control and prevention.Based on the analysis of related field survey results as well as information from national and local official websites，we summed up the important role of primary healthcare in dealing with the epidemic.Moreover，we proposed the following priorities for primary healthcare settings in combating the complex epidemic and delivering daily healthcare services：strengthening community-based control and prevention of COVID-19，providing assistance for other institutions in combating COVID-19，implementing daily healthcare and essential public health services，ensuring medical safety and strengthening the control and prevention of nosocomial infections，and adequately playing the role in county-based healthcare network.Furthermore，developing strategies targeting the weaknesses in combating the epidemic and inadequacies in delivering daily healthcare services of primary healthcare were also put forward：strengthening the development of general practitioner system and hierarchical medical system；improving early warning sensitivity，awareness of timely report of major epidemic，and emergency response level in primary healthcare workers；enhancing the informatization construction and application in primary care using artificial intelligence and cutting-edge technologies；promoting the development of regional medical consortiums and local healthcare networks，and exploring patterns for efficiently integrating medical and prevention services；vigorously carrying out patriotic public health campaigns，strengthening the mechanism of group-based control and prevention of communicable diseases，and facilitating the construction of healthy communities and villages.

Key words: COVID-19, Coronavirus infections, Epidemic, Primary health care, Primary-level medical and health care institutions, Development strategy

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