The Construction of Essential Elements of Standard Complex and Establishment of Comprehensive Standardization Path for Community Health Services

doi:10.12114/j.issn.1007-9572.2020.00.193

Abstract

Abstract: Background　The community health services in China is still under continuous development and improvement，and the construction of its comprehensive standardization will play an important role in the urban planning and operation.As the first research and construction unit in Shanghai，Gumei Community Health Service Center in Minhang District has accumulated rich experience in this regard and achieved certain results.Objective　To carry out the construction of comprehensive standardization with community health services as the object，and summarize the relevant methods and experience of element construction and path construction in the construction process in order to provide a reference for peers to carry out relevant comprehensive standardization construction.Methods　From April to October in 2015，the overall goal of comprehensive standardization for community health services was clarified through the literature review and policy review.The overall framework of the comprehensive standardization system for community health services was formed through the systematic analysis.The relevant elements of the comprehensive standardization system was drafted through the expert consultation.From November 2015 to March 2016，the relevant elements were matched with elements in the current international and domestic standards through standard bench marking.Finally，the specification and manual of a standard construction path of the standard complex for community health services was formed through the standardized construction of experts.Results　The community health services standard complex finally constructed was divided into three basic systems：a basic standard system for general services with 6 sub-systems，including standardization guidelines，terminology and acronym standards，symbol and sign standards，and a total of 165 standards；a service guarantee standard system with 9 sub-systems，including environmental standards，safety and emergency standards，contract management standards，and a total of 196 standards；and a service provision standard system with 5 sub-systems，including service specifications，service provision specifications，and quality control specifications，and a total of 370 standards.Conclusion　It is feasible to construct a comprehensive standard complex for community health services in China.The construction of this standard complex should meet the work requirements of comprehensive standardization while embodying industry characteristics.With reference to the experience of advanced standards at home and abroad，such as the evaluating standards of the Joint Commission International，the actual environment and work requirements of community health service centers in China should also be considered.

Key words: Community health services, Comprehensive standardization, Elements, Path, Construction

摘要： 背景　我国社区卫生服务仍在持续发展完善中，以其为对象进行综合标准化建设，对其规划运行有重要作用。上海市闵行区古美社区卫生服务中心作为上海市首个研建单位，在该方面积累了较为丰富的经验并取得了一定成果。目的　以社区卫生服务作为对象开展综合标准化建设，总结建设过程中的相关要素构建和综合标准化路径构建方法及经验，为同行开展相关综合标准化建设提供参考。方法　于2015年4—10月，通过文献回顾和政策梳理，明确社区卫生服务综合标准化的总目标；采用系统分析法，形成社区卫生服务标准综合体系的整体框架；采用专家咨询法，形成社区卫生服务标准综合体系相关要素图。于2015年11月—2016年3月，通过标准对标，将社区卫生服务标准综合体系的相关要素与国际、国内各现行标准进行匹配；通过标准化专家工程建设，形成社区卫生服务中心标准综合体的标准建设操作路径规范和手册。结果　最终构建的社区卫生服务标准综合体分为3个基本体系：服务通用基础标准体系，包括标准化导则、术语与缩略语标准、符号与标志标准等6个子体系，共165个标准；服务保障标准体系，包括环境标准、安全和应急标准、合同管理标准等9个子体系，共196个标准；服务提供标准体系，包括服务规范、服务提供规范、服务质量控制规范等5个子体系，共370个标准。结论　构建我国社区卫生服务标准综合体具备可实施性，构建社区卫生服务标准综合体应当符合综合标准化工作要求，同时体现行业特征，参考国际联合委员会（JCI）评审指南等国内外先进标准体经验，还应当考虑我国社区卫生服务中心的实际环境与工作要求。

关键词: 社区卫生服务, 综合标准化, 要素, 路径, 构建

WANG Kouzhu,YANG Weina,MA Xuedong, et al. The Construction of Essential Elements of Standard Complex and Establishment of Comprehensive Standardization Path for Community Health Services　[J]. Chinese General Practice, 2020, 23(16): 2002-2006. DOI: 10.12114/j.issn.1007-9572.2020.00.193.
王扣柱,杨薇娜,马学东等. 社区卫生服务标准综合体的要素构建与综合标准化路径建立研究[J]. 中国全科医学, 2020, 23(16): 2002-2006. DOI: 10.12114/j.issn.1007-9572.2020.00.193.

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