门急诊服务敏感疾病住院的管理策略研究
he Management Strategies for Ambulatory Care Sensitive Hospitalization
门急诊服务敏感疾病住院(ACSH)问题造成了我国每年至少千亿元卫生资源的浪费。实施精准干预措施以减少 ACSH 是卫生系统健康可持续发展的重要内容,有助于减缓疾病的发生发展,提升群众健康水平,降低经济负担。本研究旨在系统分析 ACSH 的影响因素,总结归纳减少 ACSH 的国际经验并探索适用于我国医疗卫生服务体系的 ACSH 管理策略。研究发现,ACSH 受个体因素、卫生服务系统因素和社会因素的影响。国际上主要通过医疗卫生服务模式、服务提供和服务管理三方面举措减少 ACSH。本研究结合国际经验和实际情况对我国 ACSH 管理工作提出如下建议:首先,将 ACSH 纳入医疗卫生服务评价体系,对门急诊服务敏感疾病(ACSCs)进行全面监测和综合管理,其次,提高医疗卫生服务能力,推动 ACSCs 管理的规范化与同质化,并基于循证理念改善管理水平;再次,应深入开展 ACSCs 本土化研究,促进高质量证据转化实施;最后,持续提高人口健康素养,强化患者和公众对减少 ACSH 的正确认识。
he issue of hospitalization for ambulatory care sensitive conditionsACSHis a significant problem worldwideresulting in an annual waste of at least one hundred billion yuan in health resources in China. Implementing targeted interventions to reduce ACSH is an essential pathway towards sustainable health systems. It helps to reduce the occurrence and progression of diseasesimprove public health levelsand reduce economic burdens. This study aims to systematically analyze the influencing factors of ACSHsummarize international experiences in reducing ACSHand explore ACSH management strategies suitable for China's health system. ACSH are influenced by individual factorshealth system factorsand social factors. Internationallymeasures to reduce ACSH mainly focus on medical service modelsservice provisionand service management. Drawing on international experience and China's practical situationthis study proposes the following recommendations for managing ACSH in Chinafirstlyit is recommended to incorporate ACSH into the evaluation system of health servicescomprehensively monitor and manage ambulatory care sensitive conditionsACSCssecondlyenhance health service capacitypromote the standardization and normalization of disease management based on evidence-based approachmoreoverconduct localized research on ACSH and promote the implementation of high-quality evidencefinallycontinuously strengthen population health literacyenhance patients' and the public's correct understanding of reducing ACSH.
卢珊、张研、王健健、潘杰
10.12114/j.issn.1007-9572.2023.0432
医药卫生理论预防医学医学研究方法
门急诊服务敏感疾病门急诊服务敏感疾病住院可避免住院管理策略门急诊服务院外服务基层医疗卫生服务
卢珊,张研,王健健,潘杰.门急诊服务敏感疾病住院的管理策略研究[EB/OL].(2024-08-28)[2025-08-24].https://chinaxiv.org/abs/202408.00259.点此复制
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