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目的调查深圳市岗区社康中心2010年度家庭病床服务的开展运作情况,分析其运作特点,为进一步完善家庭病床的合理运作模式提供决策依据。方法根据统一的纳入及排除标准,以深圳市龙岗区社康中心2010年度所辖167张家庭病床运行数据为基础,对服务对象的诊断病种、开展服务项目、用药情况、医疗费用、满意度、风险评价等内容进行汇总分析。结果 167张家庭病床中,前3位病种为高血压、糖尿病、肿瘤术后,占总病床数的71.86%;诊疗措施主要以肌肉注射、静脉滴注、静脉注射为主,占总服务项目的 86.96%;开具普通西药和中成药占总开具药物总量的95.12%。结论家庭病床能够较好的满足社区居民关于常见病、慢性病的服务需求,社区卫生服务中心或医院应重视并积极开展家庭病床服务,引导患者对家庭病床服务的利用。健全家庭病床各项规章制度,加强管理,可以提高服务质量和确保医疗安全。
Objective To investigate the operation of family bed service in 2010 in Ganggang Community Health Center in Shenzhen and to analyze the characteristics of its operation so as to provide a basis for decision-making on further rationalizing the operation of family beds. Methods According to the unified inclusion and exclusion criteria, based on the operating data of 167 family beds under the jurisdiction of the Social and Wellness Center of Longgang District in 2010, the service items, medical conditions, medical expenses, satisfaction , Risk assessment and other content summary analysis. Results Among the 167 family beds, the top 3 were hypertension, diabetes and tumor, accounting for 71.86% of the total number of beds. The main treatment measures were intramuscular injection, intravenous drip and intravenous injection, accounting for the total service items Of 86.96%; issued a general medicine and proprietary Chinese medicines accounted for 95.12% of the total issued drugs. Conclusion The family beds can better meet the community residents’ service needs for common diseases and chronic diseases. The community health service center or hospital should pay attention to and actively carry out family beds and guide the patients to use the family beds. Improve the family beds of the rules and regulations, strengthen management, can improve service quality and ensure medical safety.