摘要
目的了解上海市社区卫生服务中心舒缓疗护服务的开展情况,分析服务开展与实施中所存在的相关问题以及其影响因素,并针对如何持续扩大临终关怀服务覆盖面、优化社区舒缓疗护人力资源配备、行业的可持续发展提供科学的建议。方法本文通过对2015年上海市安宁疗护服务现状基线调查数据报表进行分析,同时采用抽样法选取上海市部分社区卫生服务中心进行定性小组访谈,采用SWOT分析方法总结上海市社区在开展舒缓疗护人力资源现状和服务项目的政策框架与保障机制、行业规范细则、人才队伍初步建立、多学科团队合作等方面所存在的优势、劣势、机遇及挑战。结果目前上海市共有80所临终关怀机构,但具有完备人力资源配置并给予专业培训的医院仅有5家,仍有接近20家医院医生和护士配备未达到上海市级标准,缺少对应的支持人员。行业缺乏深入的考核和细化的规范,在内涵建设上存在较大差距。影响舒缓疗护服务开展的主要因素为行业规范细则缺乏、专业人才紧缺、医疗保险未完全衔接、政府及社会投入不足等。结论需在本市大力开展医养结合的同时适时嵌入临终关怀服务需求,并制定临终关怀发展战略规划。同时成立上海市临终关怀培训认证中心,推动社会慈善事业投入临终关怀领域,最大限度地达到以患者为中心,最终形成完整的安宁疗护模式。
Objective To study the community health service centers in Shanghai soothing care service development situation, the analysis of the service to carry out and implement the related problems and its influence factor, and aim at how to continue to expand coverage for hospice care to relieve care equipment, human resources, optimizing the community industry’s sustainable development to provide scientific advice. Methods This article analyzed baseline survey data report of hospice care service in Shanghai in 2015. At the same time, sampling method was used to select part of the community health service center of Shanghai for qualitative group interview. The SWOT analysis method was used to summarize the Shanghai community in present situation of soothing care human resources and the service project policy framework and safeguard mechanism, industry standard rules, preliminary build talent team, a multidisciplinary team of strengths, weaknesses, opportunities and challenges. Results At present, there are 80 hospices in Shanghai, but only 5 hospitals have complete human resource allocation and professional training, thus lack of support staff. The industry lacks in-depth assessment and detailed standards, and there is a big gap in connotation construction. The main factors affecting the development of palliative care services are the lack of industry regulations and rules, the shortage of professional talents, the incomplete connection of medical insurance, and the lack of government and social investment. Conclusion It is necessary to integrate hospice care service needs and develop the strategy of hospice care development. At the same time, Shanghai hospice training and certification center was set up to promote social philanthropy into the field of hospice care, to maximize the focus on patients, and finally form a complete hospice care model.
作者
胡敏
刘登
陈琦
黑子明
雷锐
潘菊美
HU Min;LIU Deng;CHEN Qi(Shanghai Linfen Road Community Health Service Center, Shanghai 200435,China)
出处
《中华全科医学》
2019年第6期990-993,共4页
Chinese Journal of General Practice
基金
2017上海市卫生发展政策类课题(2017hp22)
2017年度上海市卫生和计划生育委员会科研课题(20174Y0058)
2018上海市卫生发展政策类课题(2018hp46)
