The Role of Family Physicians in the Control and Prevention of COVID-19

doi:10.12114/j.issn.1007-9572.2020.00.300

Abstract

Abstract: Recently，COVID-19 has spread throughout China with new cases increasing abroad.Family physicians，a major provider of community medical services as well as the gatekeeper of residents' health，also play a vital role in the control and prevention of COVID-19.As their duties and working mechanism in combating COVID-19 are not completely clear yet，we tried to develop a sound working mechanism by comprehensively discussing and summarizing the deployment and role of family physicians in combating the epidemic，hoping to give full play of their role in doing the work based on maintaining sound physical and mental health with scientific self-protection，such as collaboratively identifying the suspected cases by screening the priority groups，standardizedly managing the isolated observational cases while managing contracted residents，and delivering individualized health education of COVID-19，by strengthening administrative management，clearing their duties，formulating a working procedure，strengthening the training before combating the epidemic，and caring for their physical and mental health.

Key words: COVID-19, Home care services, Family physician, Prevention and control

摘要： 当前新型冠状病毒肺炎疫情在全国持续蔓延，国外病例数也在不断增加。家庭医生作为基层社区医疗服务的主体及居民健康的守门人，在新型冠状病毒肺炎的防控中起着至关重要的作用。但家庭医生在疫情防控工作中承担的工作职能和工作机制尚未形成完善的体系。本研究就如何充分发挥家庭医生在新型冠状病毒肺炎疫情防控工作中的作用进行深入探讨，以期形成较为完善的工作机制。本文总结了在新型冠状病毒肺炎疫情防控中家庭医生的职能和部署，通过强化组织管理、制定工作制度和流程、加强家庭医生疫情防控岗前培训、明确家庭医生工作职能、关心关爱家庭医生身心健康等措施，使家庭医生在科学防护、保持身心健康的基础上开展重点人群的协助排摸、隔离观察人员的规范管理和服务、其他签约居民的服务管理、个体化健康教育等工作，充分发挥家庭医生在新型冠状病毒肺炎疫情防控中的作用。

关键词: 新型冠状病毒肺炎, 家庭医疗保健服务, 家庭医生, 疫情防控

NIE Lianlian,WU Longhui,LI jun, et al. The Role of Family Physicians in the Control and Prevention of COVID-19　[J]. Chinese General Practice, 2020, 23(9): 1095-1099. DOI: 10.12114/j.issn.1007-9572.2020.00.300.
聂莲莲,吴龙辉,李俊等. 家庭医生在新型冠状病毒肺炎疫情防控工作中的职能[J]. 中国全科医学, 2020, 23(9): 1095-1099. DOI: 10.12114/j.issn.1007-9572.2020.00.300.

References

［1］LI Q，GUAN X H，WU P，et al．Early transmission dynamics in Wuhan，China，of novel coronavirus-infected pneumonia［J］．N Engl J Med，2020．［Epub ahead of print］．DOI:10.1056/NEJMoa2001316.
［2］MUNSTER V J，KOOPMANS M，VAN DOREMALEN N，et al．A novel coronavirus emerging in China——key questions for impact assessment［J］．N Engl J Med，2020，382（8）：692-694．DOI:10.1056/nejmp2000929.
［3］康建忠，蔡利强.“1+1+1”医疗机构组合签约服务对签约居民健康管理的效果评价［J］．中国全科医学，2019，22（s1）：21-22.
KANG J Z，CAI L Q.Evaluation of the effect of “1+1+1” combined contracting services on health management of contracted residents［J］．Chinese General Practice，2019，22（s1）：
21-22.
［4］国务院新闻办公室，国务院新闻办公室新闻发布会.疫情防控最新进展及关爱医务人员举措新闻发布会图文实录［EB/OL］．（2020-02-14）［2020-02-26］．http://www.scio.gov.cn/xwfbh/xwbfbh/wqfbh/42311/42512/wz42514/Document/1673182/1673182.htm.
［5］国家卫生健康委员会.国家卫生健康委办公厅关于印发新型冠状病毒感染的肺炎防控方案（第三版）的通知［EB/OL］．（2020-01-28）［2020-02-26］．http://www.nhc.gov.cn/jkj/s7923/202001/470b128513fe46f086d79667db9f76a5.shtml.
［6］海医会全科医学分会.战疫情家医在行动文晖街道社区-居家医学观察“8541”三部曲［EB/OL］．（2020-02-19）［2020-02-26］．https://mp.weixin.qq.com/s/yxX9jQYByplh8wPK67ANZA.
［7］国家卫生健康委办基层卫生健康司.天津市宝坻区家庭医生团队使用智能语音外呼技术服务助力社区疫情防控［EB/OL］．（2020-02-26）［2020-02-27］．http://www.nhc.gov.cn/jws/s3582k/202002/865e8fb725444d50b96467e72ffe409a.shtml.
［8］国家卫生健康委员会，国家卫生健康委员会新闻发布会.疫情防控最新进展及关爱医务人员举措新闻发布会图文实录［EB/OL］．（2020-02-11）［2020-02-26］．http://www.nhc.gov.cn/xwzb/webcontroller.do?titleSeq=11228&gecstype=1.
［9］国家卫生健康委办公厅.国家卫生健康委办公厅关于印发新型冠状病毒感染的肺炎防控中居家隔离医学观察感染防控指引（试行）的通知［EB/OL］．（2020-02-05）［2020-02-27］．http://www.nhc.gov.cn/xcs/zhengcwj/202002/cf80b05048584f8da9b4a54871c44b26.shtml.
［10］国家卫生健康委员会.新型冠状病毒感染的肺炎疫情紧急心理危机干预指导原则［EB/OL］．（2020-01-27）［2020-02-16］．http://zw.china.com.cn/2020-01/27/content_75652045.html?f=pad&a=true.
［11］国家卫生健康委办基层卫生健康司.关于印发基层医疗卫生机构在新冠肺炎疫情防控期间为老年人慢性病患者提供医疗卫生服务指南（试行）的通知［EB/OL］．（2020-02-25）［2020-02-27］．http://www.nhc.gov.cn/jws/s3581r/202002/e7307a4c19a14a6fb16603d16dcf9854.shtml.
［12］中国政府网.国务院办公厅转发国家卫生健康委、人力资源社会保障部、财政部关于改善一线医务人员工作条件切实关心医务人员身心健康若干措施的通知［EB/OL］．（2020-02-11）［2020-02-26］．http://www.nhc.gov.cn/renshi/s7746/202002/63b2473ed0cd44d8ae8f40757208839a.shtml.
［13］邓群媚，刘志光，甘桂秀，等．广西藤县2018年居民传染病防治素养结果和分析［J］．母婴世界，2019，9：269，271.
DENG Q M，LIU Z G，GAN G X，et al．Analysis of literacy in the prevention of infectious disease among residents in Tengxian，Guangxi in 2018［J］．Maternal and Child World，2019，9：269，271.
［14］黄晓燕，袁政安，何懿，等．上海市应对新型流感疫情策略及措施［J］．中国卫生资源，2019，22（4）：258-261．DOI:10.13688/j.cnki.chr.2019.19270.
HUANG X Y，YUAN Z A，HE Y，et al．Strategies and measures for responding to novel influenza epidemics in Shanghai［J］．Chinese Health Resources，2019，22（4）：258-261．DOI:10.13688/j.cnki.chr.2019.19270.
［15］唐莉霞，李红艳，曹娜.上海市长宁区家庭医生功能社区服务的经验启示［J］．卫生经济研究，2020，37（1）:49-51．DOI：10.14055/j.cnki.33-1056/f.2020.01.015.
TANG L X，LI H Y，CAO N.Enlightenment of functional community service of family doctors in Changning District，Shanghai［J］．Health Economics Research，2020，37（1）:49-51．DOI：10.14055/j.cnki.33-1056/f.2020.01.015.

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