岳玮璘, 仇伟, 林建海, 何静怡. 上海市发热门诊现状调查[J]. 上海预防医学, 2011, 23(3): 123-125.
引用本文: 岳玮璘, 仇伟, 林建海, 何静怡. 上海市发热门诊现状调查[J]. 上海预防医学, 2011, 23(3): 123-125.
YUE Wei-lin, QIU Wei, LIN Jian-hai, HE Jing-yi. Survey on current situation of fever clinics in Shanghai[J]. Shanghai Journal of Preventive Medicine, 2011, 23(3): 123-125.
Citation: YUE Wei-lin, QIU Wei, LIN Jian-hai, HE Jing-yi. Survey on current situation of fever clinics in Shanghai[J]. Shanghai Journal of Preventive Medicine, 2011, 23(3): 123-125.

上海市发热门诊现状调查

Survey on current situation of fever clinics in Shanghai

  • 摘要: 目的 研究SARS和人感染高致病性禽流感疫情后上海市在发热门诊设置和运行等方面存在的问题,为建立有效应对突发公共卫生事件的发热门诊合理模式提供参考。方法 以上海市2006年调整后的136家医疗机构发热门诊设置点为研究对象,采用定性调查和定量调查相结合的方式进行调查。定性调查包括:对20家不同级别医疗机构的分管领导或防保科负责人、发热门诊医务人员以及19个区县卫生监督所的传染病防治工作人员进行访谈。定量调查包括:对发热门诊设置点设置和运行方式、就诊病例数、发热门诊医护人员情况进行问卷调查。结果 全市发热门诊存在如下问题:① 发热门诊设置、运行存在问题,部分医院因改、扩建等原因,已停止发热门诊运行;② 发热病人就诊流程不明确,特别是预检分诊制度落实不到位;③ 多数医院发热门诊投入大量人力物力,而就诊病人少,造成医疗资源浪费。结论 应调整发热门诊分布,使全市发热门诊监测网络覆盖全市所有人群。医疗机构应尽量利用现有条件,整合传染病诊疗相关资源,同时,严格执行感染性疾病关键的诊疗流程。

     

    Abstract: Objective To investigate the problems existing in the setting up and running of fever clinics in Shanghai since the occurrence of SARS and Bird Flu and to provide a helpful reference for establishing rational mode of fever clinics to deal with public health emergency such as SARS and Bird Flu.Methods A total of 136 fever clinics after 2006 were included in the study, and both qualitative and quantitative methods were used in data collection and analyses. Qualitative studies included interview with administrators, physicians working in the fever clinics, officers working in public health institutions. Quantitative surveys included: (1) The setting and running of the fever clinics. (2) The number of patients with fever. (3) Questionnaire survey was done among physicians working in fever clinics.Results Problems were found during the study included: (1) Problems existed in the setting and running of fever clinics and some were suspended because of hospital reconstruction, expansion and other reasons. (2) Fever patients were unclear about the treatment process, especially about the pre triage system. (3) There was significant unbalance in cost and effectiveness in most of the fever clinics.Conclusion The distribution of fever clinics in the city should be adjusted to make fever patient monitoring network cover all city people. Medical institutions should make the best use of the existing conditions and integrate the related resources for diagnosis and treatment of infectious diseases. Meanwhile, the diagnosis and treatment process for infectious diseases should be strictly enforced.

     

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