中国全科医学2024，Vol.27Issue(34)：4234-4240,7.DOI:10.12114/j.issn.1007-9572.2023.0011
门急诊服务敏感疾病住院:概念、识别及政策启示
Hospitalization for Ambulatory Care Sensitive Conditions:Concept,Identification and Policy Implications
摘要
Abstract
The accessibility and quality of ambulatory care(including outpatient and emergency services in primary care facilities,hospitals and other healthcare facilities)determine the efficiency of overall health care system and population health.Ambulatory care is also the core component of continuing care in an aging society.The concept of ambulatory care sensitive conditions(ACSCs)was firstly introduced by American researchers in 1990s.Since then,hospitalization for ambulatory care sensitive conditions(ACSHs)was widely used to evaluate the accessibility and quality of ambulatory care.In recent years,research on ACSH has gradually attracted the attention of scholars from all over the world,and preliminary research evidence from China indicated that the issue should not be ignored.This paper firstly introduces the origin of the concept of ACSH,then identifies the mixing concepts such as ACSH,avoidable hospitalization and inappropriate hospital admission,systematically summarizes the cutting-edge international identification criteria of ACSH,and finally discusses the policy value of ACSH as an indicator in the context of domestic and international research advances,clarifies the problems that should be noted in the identification of ACSCs in China,proposes strategies to reduce ACSH.关键词
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/门急诊服务/院外服务/基层医疗卫生服务Key words
Ambulatory care sensitive conditions/Hospitalization for ambulatory care sensitive conditions/Preventable hospitalizations/Ambulatory and emergency care/Out-of-hospital services/Primary health services分类
医药卫生引用本文复制引用
卢珊,张研,王健健,潘杰..门急诊服务敏感疾病住院:概念、识别及政策启示[J].中国全科医学,2024,27(34):4234-4240,7.基金项目
国家自然科学基金青年项目(72104086) （72104086）
国家自然科学基金面上项目(72074163) （72074163）
中央高校基本科研业务费资助项目(HUST:2021WKYXQN023) 感谢盖茨基金会(项目号:OPP1178967)对本研究的支持. （HUST:2021WKYXQN023）
