基于慢性病延续医疗服务的三级医院家庭护士服务模式实践

发布时间：2018-11-06 17:06

【摘要】：目的探讨三级医院家庭护士服务模式对慢性病延续医疗服务的作用与影响。方法三级医院成立家庭护士服务部及顾问医生团队,与出院慢性病患者签定延续医疗服务约定,并借助信息化平台,建立以签约对象为中心,以家庭、社区、医院为一体的无缝医疗服务链。统计2016年1—9月家庭护士服务模式应用的相关指标。结果家庭护士服务模式应用后,26家社区卫生服务中心与三级医院签约并成立医疗联合体,262例慢性病出院患者与家庭护士服务部签定延续医疗服务约定;慢性病签约患者及社区卫生服务机构人员的满意度分别为99.8%和90.0%等。结论家庭护士服务模式构建与应用,引导了慢性病患者科学合理就医秩序,增强了三级医院与社区卫生机构的上下联动,提高了慢性病患者满意度。
[Abstract]:Objective to explore the effect and influence of the service mode of family nurses in three-level hospitals on the continuous medical service of chronic diseases. Methods A family nurse service department and a team of consultant doctors were set up in the third level hospital to sign a continuous medical service agreement with the discharged patients with chronic diseases. With the help of the information platform, the hospital set up a contract centered on the target, taking the family and the community as the center. Hospital as one of the seamless medical service chain. Statistics on the application of family nurse service model in January to September 2016. Results after the application of the family nurse service model, 26 community health service centers signed with the tertiary hospitals and set up a medical association. 262 patients with chronic diseases and the family nurse service department signed a continuation of the medical service agreement. The satisfaction of chronic patients and community health service personnel were 99.8% and 90.0% respectively. Conclusion the construction and application of family nurse service model can guide the patients with chronic diseases to seek medical treatment scientifically and reasonably, strengthen the linkage between tertiary hospitals and community health institutions, and improve the satisfaction of patients with chronic diseases.
【作者单位】：合肥市第一人民医院;
【分类号】：R47

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