院前急救城乡一体化体系建设与管理研究
荥阳市人民医院, 急诊科, 河南郑州 450100
| 摘 要： | 在急救医学里，急救的过程主要包括院前急救阶段、急诊处置阶段、ICU观察阶段。其中，院前急救阶段具有重要的意义，特别是对急危重症患者，院前急救至关重要，甚至决定了患者生命能否延续。近年来，在加快建设分级诊疗体系，推进紧密型县域医共体背景下，县级医院院前急救水平快速提升，但是乡镇医院院前急救水平提升有限。为了促进院前急救城乡一体化体系建设、提升其管理水平，本文采取归纳总结法对院前急救城乡一体化体系现状、问题、对策进行了分析，结果表明当前院前急救城乡一体化体系建设存在的问题主要有院前急救体系建设不系统、城乡医疗资源配置不均衡、农村院前急救体系建设投入少、院前急救城乡一体化建设与运行管理滞后，采取合适的对策可以完善健全院前急救城乡一体化体系，更好的救治患者，提升院前救治成功率。 |
| 关 键 词： | 院前急救; 城乡一体化; 体系; 建设; 管理 |
| DOI： | 10.57237/j.wjcm.2022.01.004 |
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收稿日期: 2022-09-30
接受日期: 2022-11-07
在线出版日期: 2022-12-01
Study on Construction and Management of Pre-hospital Emergency Urban-rural Integration System
Emergency Department, Xingyang People's Hospital, Zhengzhou 450100, China
| Abstract: | In emergency medicine, the process of first aid mainly includes pre-hospital emergency stage, emergency treatment stage, ICU observation stage. Among them, the pre-hospital emergency stage has an important significance, especially for the critical patients, pre-hospital emergency is very important, and even determines whether the patient's life can be prolonged. In recent years, under the background of accelerating the construction of hierarchical diagnosis and treatment system and promoting the close county medical community, the pre-hospital emergency level of county hospitals has been rapidly improved, but the improvement of pre hospital emergency level of township hospitals is limited. In order to promote the construction of pre-hospital emergency urban-rural integration system and improve its management level, this paper analyzes the status quo, problems and countermeasures of pre-hospital emergency urban-rural integration system by using the summary method. The results show that the problems in the construction of urban-rural integration system of pre-hospital emergency mainly include the unsystematic construction of pre hospital first aid system, unbalanced allocation of urban and rural medical resources, less investment in the construction of rural pre hospital first aid system, and lagging construction and operation management of urban-rural integration of pre hospital first aid at present, and appropriate measures can be taken to improve the hospital. The former emergency urban-rural integration system will better treat patients and improve the success rate of pre-hospital treatment. |
| Keywords: | Pre-hospital Emergency; Urban-rural Integration; System; Construction; Management |
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