上海市社区护理中心服务能力的现况调查与分析OA北大核心CSTPCD

Objective To compare the nursing service capacity of community health service centers before and after the establishment of nursing centers,and to provide insights for evidence-based decision-making.Methods A survey was conducted on 36 community nursing centers in Shanghai that passed municipal acceptance in 2023.Data were collected and compared regarding the basic situation,site setup,personnel allocation,specialty service capacity,discipline construction,medical network integration,and information technology development before and after construction.Results The average service area of 36 community nursing centers was(213.90±170.15)m2,including 14 in urban areas(38.89%),12 in suburban areas(33.33%)and 10 in outer suburbs(27.78%).The proportion of centers with relatively independent comprehensive care service areas increased from 22.22%in 2022 to 100.00%in 2023,showing a statistically significant difference(χ²=45.818,P＜0.001).Although the number of specialist nursing service visits increased to 1,509,831 from 1,274,176 in 2022,the difference was not statistically(χ²=72.000,P=0.445).The top three nursing services were Chinese medicine nursing,diabetes nursing and rehabilitation nursing.By 2023,all community nursing centers had full-time nurses,and the proportion of nurses with middle or high professional titles increased to 1:0.047 compared to 1:0.040 before construction.The number of academic achievements reached 541,significantly higher than 269 in 2022.Additionally,there was an increase in the number of"Internet+"nursing services,and the number of nursing linkages between communities and higher-level hospitals also grew.Conclusions After one year of development,the 36 community nursing centers in Shanghai that passed municipal acceptance showed significant improvements in site setup,specialized nursing service capacity,and discipline construction.However,further improvements are needed in nursing personnel allocation and homogenization-induced nursing services across this communities should be avoided.