中国全科医学2025，Vol.28Issue(25)：3110-3118,9.DOI:10.12114/j.issn.1007-9572.2024.0461
分级诊疗背景下带状疱疹社区全科诊疗路径构建
Constructing a Comprehensive Community Clinical Pathway for Herpes Zoster under Graded Treatment Framework
纪冰 1姜嘟嘟 1陈晨 1郑艳玲 2石建伟 3方力争 4杜雪平5
作者信息
- 1. 200041 上海市静安区江宁路街道社区卫生服务中心
- 2. 430064 湖北省武汉市武昌区首义路街社区卫生服务中心
- 3. 200025 上海市,上海交通大学医学院
- 4. 310016 浙江省杭州市,浙江大学医学院附属邵逸夫医院
- 5. 100045 北京市,首都医科大学附属复兴医院月坛社区卫生服务中心
- 折叠
摘要
Abstract
Background Early diagnosis and treatment of herpes zoster(HZ)are crucial in reducing post-herpetic neuralgia complications.However,research on prevention and treatment at the primary healthcare level remains insufficient.Objective Based on the hierarchical diagnosis and treatment system between community health service centers and general hospitals,this study aims to establish a comprehensive community-based clinical pathway for HZ,providing guidelines for standardized management in community settings.Methods Through a systematic review spanning from 2003 to 2023,international and domestic literature on HZ prevention,diagnosis,pain assessment tools,and treatment measures were collated.Utilizing focus group discussions,12 experts engaged in HZ-related work or research from Shanghai,Beijing,including representatives from disease control centers,health commissions,comprehensive hospitals,and community health centers,refined and constructed the clinical pathway and operational protocols for community HZ diagnosis and treatment.Results Within the hierarchical medical system,the community-based pathway for HZ diagnosis and treatment encompasses stages of prevention,diagnosis and differential diagnosis,treatment,and follow-up.The established pathway assigns initial HZ diagnosis,graded treatment,and follow-up responsibilities to community health service centers while general hospitals handle specialized differential diagnoses and non-basic services.This pathway is anchored by community general practitioners as its central axis.Conclusion The community-based pathway for diagnosing and treating HZ developed in this study,within the framework of a hierarchical medical system,can effectively enhance the standardization of HZ diagnosis and treatment in primary healthcare institutions.Moreover,it establishes a solid clinical and theoretical foundation for promoting a two-way referral model of HZ under nationwide hierarchical diagnosis and treatment.关键词
带状疱疹/双向转诊/诊疗路径/社区卫生服务Key words
Herpes zoster/Bidirectional referral/Clinical pathway/Community health services分类
医药卫生引用本文复制引用
纪冰,姜嘟嘟,陈晨,郑艳玲,石建伟,方力争,杜雪平..分级诊疗背景下带状疱疹社区全科诊疗路径构建[J].中国全科医学,2025,28(25):3110-3118,9.
