防控突发性传染病的医疗建筑网络结构研究

发布时间：2018-03-11 20:16

本文选题：突发性传染病　切入点：医疗建筑　出处：《哈尔滨工业大学》2015年博士论文　论文类型：学位论文

【摘要】：本文属国家自然科学基金面上项目“防控突发性传染病的医疗建筑网络体系构建”(51078104)的重要组成部分。所谓突发性传染病,指的是在短期内发生、有较大波及范围,出现大量的病人或死亡病例,发病率远超过常年发病率水平的一种传染病疫情;因其意外性、高危害性、广泛影响力等特点,已经成为了目前人类所面临的医学与社会的双重难题;考验着一个国家、地区、城市的公共卫生服务体系,检验着医疗建筑、医疗设施的发展均衡性。本研究从医疗建筑网络化的角度出发,对防控突发性传染病的医疗建筑网络体系下的医疗建筑规划和建筑设计进行研究,目的在于提出理论性的指导对策,并针对性的建构出防控突发性传染病的医疗建筑体系的具体操作模式。同时促进国家“坚持公益性、调动积极性”的新医改政策在疾病防控领域的具体应用,在新医改政策的框架下完善当前的医疗建筑体系,完善医疗建筑设计方法。其最终的社会意义是探讨“以人为本”的从建筑领域出发解决社会问题的新途径。本文的具体研究指向防控突发性传染病的医疗建筑网络体系,以体系中最为关键的网络结构为关注点,辅以系统论、协同论、区域科学理论等方法,创新性的提出了真实空间网络、虚拟空间网络、中介空间网络三位一体的防控突发性传染病的医疗建筑网络架构,并用网络配置计划对组成网络的医疗建筑要素进行具体的规划与设计指引,用网络运行机制对网络架构中错综复杂的内部关系进行总结。研究循着从点到面的思路,从“中观”层面构成网络的医疗建筑要素的研究介入,向上拓展到城市规划层面的医疗建筑网络体系整合,向下则具象到保证医疗建筑网络体系顺畅运行的相关技术支撑,全方位的对医疗建筑网络体系进行了梳理。在防控突发性传染病的医疗建筑网络要素的研究中,选取了整个网络体系中最为关键的四类医疗建筑“结点”:疾病预防控制中心、传染病专科医院、综合医院传染病防控空间以及基层传染病防控医疗机构,通过对近年来大量相关案例的分析,对这四类医疗建筑在网络中的职能、发展趋势以及设计要点进行梳理与阐述。在防控突发性传染病的医疗建筑网络整合模式的探索中,从政策及策略层面提出以防控突发性传染病的城市医疗建筑规划专篇为目标的垂直整合模式,主要体现为规划功能、规划技术与规划程序的整合。进而在具体方法及手段层面描述了以“联动”为特质的医疗建筑水平整合模式,并主要以哈尔滨市防控突发性传染病的城市医疗建筑规划专篇为例说明了这一特质在真实空间网络、虚拟空间网络、中介空间网络三个不同网络架构上的体现。在防控突发性传染病的医疗建筑网络技术支撑的阐释中,以突发性传染病疫情的全过程为线索,首先从广泛分析、精确控制和优化救治三个角度探索了技术支撑平台的构建方式;其次又从一体化预防、协同化控制和应急化救治三方面来明晰具体的技术支撑策略;最后还从相应的医疗技术方面,探索了其对于网络体系的辅助支持。
[Abstract]:This is the National Natural Science Foundation Project "medical building network system for the prevention and control of emerging infectious diseases in the construction of" (51078104). An important part of the so-called emerging infectious diseases, which is in the short term, there is a large range, the emergence of a large number of patients or deaths, the incidence rate is far more than a the epidemic situation of infectious disease incidence rate of the perennial; because of the accident, dangerous, wide influence and other characteristics, has become a medical and social problem of double current human faces; a test of a country, region, city public health service system, a test of medical building, the balanced development of medical facilities. This study from the medical building network perspective, research on medical construction planning and construction design of medical building network system for the prevention and control of emerging infectious diseases under the purpose of providing theoretical guidance Countermeasures and specific operation mode of prevention and control of emerging infectious diseases in the medical building system of construction. At the same time to promote the national "adhere to public welfare, the specific application to mobilize the enthusiasm of the new medical reform policy in the field of disease prevention and control, in the framework of the new medical reform policy under the perfect the medical building system, perfect design method the medical building. The ultimate social significance is to explore new ways to solve social problems from the construction field of people-oriented" medical building network system. The main researches point to the prevention and control of emerging infectious diseases, the most critical network structure concerns in the system, with the system theory, coordination theory, theory of regional science methods, puts forward the innovation of real space network, virtual space network, intermediary space network prevention and control of emerging infectious diseases in the medical building of three-in-one network architecture, and use the net Network configuration planning and design guidelines for specific medical building elements of the network, with the network operating mechanism of the internal relationship between the perplexing network architecture are summarized. The research on the surface from the point to the research ideas, architectural elements of the network medical intervention from the meso level, to expand to the medical building network system the level of city planning integration, down the concrete to ensure support technology medical building network system running smoothly, a full range of medical building network system are reviewed. In the study of medical building network elements of prevention of sudden infectious diseases in the selected four kinds of medical building "key nodes" for the entire network in the system of center for Disease Control and prevention, infectious disease hospital, space disease prevention and control of infectious disease prevention and control and grassroots medical institutions of infectious hospital, through the Analysis in recent years a large number of cases, for the four types of medical building functions in the network, combing with the described development trend and design points. To explore the prevention and control of emerging infectious diseases in the medical building network integration model, from the policy and strategy of city health planning level put forward to prevention and control of emerging infectious diseases in the college for vertical integration pattern, mainly embodies the planning function, integration planning and planning program. Then the specific methods and means on the description of the "linkage" for the level of medical architectural characteristics integration mode, and the main city in Harbin city construction planning and medical prevention of sudden infectious diseases for example this trait in the real space network, virtual space network, embodies the intermediary space network of three different network architectures in the prevention and control of infectious diseases in medical emergency network construction The technical support of the interpretation, the whole process with sudden infectious diseases as a clue, firstly from the extensive analysis, accurate control and optimization of treatment three angles to explore the way to build the technical support platform; secondly, from the integration of prevention, control and treatment of emergency coordination of the three aspects to clarify the specific technical support strategy; finally, from the corresponding medical technology, explore the network system for auxiliary support.

【学位授予单位】：哈尔滨工业大学
【学位级别】：博士
【学位授予年份】：2015
【分类号】：TU246

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