中国全科医学2024，Vol.27Issue(34)：4241-4247,7.DOI:10.12114/j.issn.1007-9572.2023.0432
门急诊服务敏感疾病住院的管理策略研究
The Management Strategies for Ambulatory Care Sensitive Hospitalization
摘要
Abstract
The issue of hospitalization for ambulatory care sensitive conditions(ACSH)is a significant problem worldwide,resulting 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 diseases,improve public health levels,and reduce economic burdens.This study aims to systematically analyze the influencing factors of ACSH,summarize international experiences in reducing ACSH,and explore ACSH management strategies suitable for China's health system.ACSH are influenced by individual factors,health system factors,and social factors.Internationally,measures to reduce ACSH mainly focus on medical service models,service provision,and service management.Drawing on international experience and China's practical situation,this study proposes the following recommendations for managing ACSH in China:firstly,it is recommended to incorporate ACSH into the evaluation system of health services,comprehensively monitor and manage ambulatory care sensitive conditions(ACSCs);secondly,enhance health service capacity,promote the standardization and normalization of disease management based on evidence-based approach;moreover,conduct localized research on ACSH and promote the implementation of high-quality evidence;finally,continuously strengthen population health literacy,enhance patients'and the public's correct understanding of reducing 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/管理策略/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/Management strategy/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
王健健,张研,卢珊,潘杰..门急诊服务敏感疾病住院的管理策略研究[J].中国全科医学,2024,27(34):4241-4247,7.基金项目
国家自然科学基金面上项目(72074163) （72074163）
国家自然科学基金青年项目(72104086) （72104086）
四川省科技厅重点研发项目(2022YFS0052) （2022YFS0052）
四川大学"从0到1"创新研究项目(2023SCUH0025) （2023SCUH0025）
泰康溢彩公共卫生及流行病防治专项基金 感谢盖茨基金会(项目号:OPP1178967)对本研究的支持. （项目号:OPP1178967）
