传染性流行病对儿科就诊系统的冲击与应对策略
收稿日期: 2024-05-06
网络出版日期: 2024-06-07
基金资助
国家自然科学基金面上项目(72274122);上海市加强公共卫生体系建设三年行动计划(GWVI-11.2-YQ54)
The impact of infectious disease outbreaks on the pediatric healthcare system and countermeasures
Received date: 2024-05-06
Online published: 2024-06-07
康力 , 黄蛟灵 . 传染性流行病对儿科就诊系统的冲击与应对策略[J]. 临床儿科杂志, 2024 , 42(6) : 475 -479 . DOI: 10.12372/jcp.2024.24e0432
In recent years, due to the infectious disease pandemic, the healthcare systems in various regions of China have been impacted to varying degrees, especially the pediatric healthcare system. The short-term surge in pediatric outpatient demand has exacerbated the conflict with limited pediatric medical resources, highlighting the shortcomings in the development of pediatric care in China. This article mainly discusses the current situation of our country's pediatric medical care system when facing the impact of large-scale infections, analyzes the reasons behind it, and puts forward targeted policy recommendations, including improving the development and service capabilities of pediatric disciplines, optimizing the layout of pediatric medical resources, and strengthening pediatric diagnosis and treatment ability in primary healthcare and promote orderly hierarchical diagnosis and treatment behavior.
| [1] | 赵杨, 鲍琳辉. 医改背景下公立医院如何加强儿科医生人才队伍建设[J]. 四川劳动保障, 2023, 12: 18-19. |
| [2] | 徐婕, 马琦, 沈国妹, 等. 学术主任制度推动儿科医联体高质量发展[J]. 现代医院管理, 2023, 21 (6): 48-50. |
| [3] | 张昕. 国家中医药管理局发文进一步加强中医医院儿科建设[J]. 中医药管理杂志, 2023, 31 (22): 45. |
| [4] | 上海市卫生健康委. 健全体系深化服务持续提高妇女儿童健康水平[J]. 健康中国观察, 2022, 10: 12-14. |
| [5] | 世界卫生组织. 前十位死亡原因[EB/OL]. [2024-03-19]. https://www.who.int/zh/news-room/fact-sheets/detail/the-top-10-causes-of-death. |
| [6] | Bourouiba L. Fluid dynamics of respiratory infectious diseases[J]. Annu Rev Biomed Eng, 2021, 23: 547-577. |
| [7] | 王宇清, 蒋吴君, 顾文婧. 新冠疫情下儿童呼吸道感染病毒病原学的变迁及诊断策略[J]. 临床儿科杂志, 2022, 40 (4): 241-246. |
| [8] | WHO. Influenza (Seasonal)[EB/OL]. [2024-03-19]. https://www.who.int/zh/news-room/fact-sheets/detail/influenza-(seasonal). |
| [9] | Parums DV. Editorial: outbreaks of post-pandemic childhood pneumonia and the re-emergence of endemic respiratory infections[J]. Med Sci Monit, 2023, 29: e943312. |
| [10] | 殷勇, 陈健德. 儿童大环内酯类耐药肺炎支原体肺炎诊疗理念与实践[J]. 临床儿科杂志, 2024, 42(3): 177-181. |
| [11] | 顾雨瞳, 杨芬, 叶剑敏, 等. 住院患儿肺炎支原体肺炎大环内酯类耐药情况及临床诊治[J]. 临床儿科杂志, 2024, 42(3): 182-186. |
| [12] | 国家统计局. 1991—2021年我国监测地区儿童和孕产妇死亡率[J]. 中国病毒病杂志, 2023, 13(6): 477. |
| [13] | 国家卫生健康委员会. 2022中国卫生健康统计年鉴[EB/OL]. [2024-03-19]. http://www.nhc.gov.cn/mohwsbwstjxxzx/tjtjnj/202305/6ef68aac6bd14c1eb9375e01a0faa1fb/files/b05b3d958fc546d98261d165cea4adba.pdf. |
| [14] | 中华医学会儿科学分会, 中国医师协会儿科医师分会. 《中国儿科资源现状白皮书(基础数据)》发布[J]. 健康大视野, 2017, 11: 9. |
| [15] | 国务院. 中国儿童发展纲要(2021—2030年)[EB/OL]. [2024-03-19]. http://www.gswomen.org.cn/upload/5/cms/content/editor/1648003368200.pdf. |
| [16] | 彭馨晔, 曾理. 湖北省儿科医疗资源配置水平及其公平性研究[J]. 医学与社会, 2020, 33 (11): 15-19. |
| [17] | 邵颖颖, 刘建军, 李曰阳, 等. 湖北省两市儿科医师流动现状[J]. 医学与社会, 2021, 34 (12): 90-93. |
| [18] | Zhang Y, Huang L, Zhou X, et al. Characteristics and workload of pediatricians in China[J]. Pediatrics, 2019, 144(1): e20183532. |
| [19] | Song P, Ren Z, Chang X, et al. Inequality of paediatric workforce distribution in China[J]. Int J Environ Res Public Health, 2016, 13(7): 703. |
| [20] | 中国政府网. 分级诊疗是医疗服务精细化的必由之路. [EB/OL]. [2024-03-19]. http://www.nhc.gov.cn/yzygj/s3594r/201509/4a8c175a3d174b2c956b1163d33b8304.shtml. |
| [21] | 邵译莹, 莫颖宁, 焦奥南. 分级诊疗视角下我国医疗资源配置效率评价[J]. 中国医药导报, 2021, 18 (27): 189-192. |
| [22] | 高畅, 王亦男, 王露, 等. 集中增量阶段儿科人才培养研究[J]. 江苏卫生事业管理, 2023, 34 (6): 747-749. |
| [23] | Lemos DRQ, D'Angelo SM, Farias LABG, et al. Health system collapse 45 days after the detection of COVID-19 in Ceará, Northeast Brazil: a preliminary analysis[J]. Rev Soc Bras Med Trop, 2020, 53: e20200354. |
| [24] | Mareiniss DP. The impending storm: COVID-19, pandemics and our overwhelmed emergency departments[J]. Am J Emerg Med, 2020, 38(6): 1293-1294. |
| [25] | Mahendradhata Y, Andayani NLPE, Hasri ET, et al. The capacity of the Indonesian healthcare system to respond to COVID-19[J]. Front Public Health, 2021, 9: 649819. |
/
| 〈 |
|
〉 |