Prevention and Control of Major Infectious Diseases in Primary Health Care Organizations：Experiences，Problems and Countermeasures from Case-based Studies

doi:10.12114/j.issn.1007-9572.2021.00.035

Abstract

Abstract: As the providers of public health and essential medical and health services，primary health care organizations play an increasingly important role in the prevention and treatment of major infectious diseases. However，as revealed by actions in containing the 2003 SARS epidemic，2009 H1N1 pandemic and COVID-19 pandemic，their capacities in the containment of such diseases are unsatisfactory，with specific manifestations of imperfection of primary containment mechanisms for infectious diseases，insufficient primary health resources，oversights in preventive health education and low level of informatization. Hence，we proposed the following recommended solutions：further reforming the infectious diseases emergency preparedness and response mechanism，optimizing the allocation of health resources including medical professional and equipments by forms such as combining multiple bodies to co-deliver public health services and attracting social capitals to input in public health programs，further implementing the hierarchical medical system and family doctor system，enhancing informatization level，bearing in mind the idea of delivering routine medical services with sound emergency preparedness in non-epidemic period and making emergency responses to public health emergencies when needed and promoting health education.

Key words: Community health services, Community health service institutions, Novel coronavirus pheumonia, COVID-19, Case combing

摘要： 基层医疗卫生机构作为基本公共卫生与基本医疗卫生服务的提供者，在防治重大传染性疾病中的作用日益显现，基于2003年重症急性呼吸综合征（SARS）、2009年甲型H1N1流感和2019年的新型冠状病毒肺炎基层参与防控的多案例梳理发现，基层医疗卫生机构重大传染病防控能力尚存不足。主要表现为传染病防控机制不完善、卫生资源欠缺、预防性健康教育疏漏和信息化水平不高等问题，建议通过进一步改革传染病应急防控机制，联合多元主体，吸引社会资本，优化卫生资源、人才和设备配置，落实分级诊疗和家庭医生制度，加强信息化建设和树立“平战结合”思想、促进健康教育等方式，逐步提升基层医疗卫生机构传染病防控能力。

关键词: 社区卫生服务, 社区卫生服务机构, 新型冠状病毒感染, 新型冠状病毒肺炎, 案例梳理

QIN Yi, HUANG Yuanying, HE Zhongchen, ZHANG Jian, LUO Lan, TANG Guizhong. Prevention and Control of Major Infectious Diseases in Primary Health Care Organizations：Experiences，Problems and Countermeasures from Case-based Studies　[J]. Chinese General Practice, 2021, 24(1): 11-16.

秦怡, 黄元英, 何中臣, 张检, 罗蓝, 唐贵忠. 基于案例梳理的基层医疗卫生机构重大传染性疾病防控：经验、问题与对策[J]. 中国全科医学, 2021, 24(1): 11-16.

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