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社区哮喘儿童完全控制率76% 颠覆性改变既往3%的控制水平

2017-08-28 08:22:10   中国青年网

本报讯(记者 黄杨子 通讯员 夏琳)全球著名四大医学期刊之一的《英国医学期刊》(BMJ)在线子刊《BMJ OPEN》近日刊登国家儿童医学中心(上海交通大学医学院附属上海儿童医学中心)《中国社区管理模式下的儿童哮喘控制:前瞻性多中心队列研究方案》。该论文以儿中心儿科医疗联合体的分级诊疗策略为载体,以儿童最常见疾病——哮喘为观察点,评价了疾病控制效果及患儿对治疗方式的接受度。

2016年,在儿中心牵手浦东新区和奉贤区卫计委共同组建儿中心儿联体的基础上,儿联体儿童哮喘社区管理行动正式启动。首批陆家嘴、联洋、北蔡、金杨等14家社区卫生服务中心先后开设出全专联合儿童哮喘门诊,覆盖浦东超过四分之一的社区,第二轮又增加5家二级医院,占二级以上医院数的一半。

数据显示,2016年5月至2017年6月期间,儿中心呼吸科医生下社区哮喘门诊2459人次,社区医生独立开展的哮喘门诊2869人次,社区卫生服务中心独立开展雾化治疗3279人次,社区卫生服务中心独立开展肺功能262人次。社区哮喘儿童完全控制率76%,部分控制率22%,颠覆性改变了既往只有3%的控制水平。同时,医疗费用相对于三甲医院下降了26%,就诊时间缩短了1.4小时。

今年,儿联体内6家原来不设儿科的社区卫生服务中心开设了儿科门诊,16家社区卫生服务中心整体儿科的服务量平均增长26.34%,其中金杨社区卫生中心儿科门诊量同比增长464%。包括东方医院、新区人民医院、浦南医院在内的浦东二、三级医院儿科业务量平均增长8.8%,出院病人数增长47.9%。

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