北京市朝阳区急救社区化建设与实践分析

摘要

Pre-hospital care,an important part of public health services,is the first and the most important part of e-mergency medical system. In the construction of community-based first aid in Chaoyang district,it set up first-aid stations in health services in the area,enrolled community-based pre-hospital emergency and emergency medical rescue in public health services,which made up for the shortcomings of first-aid system development of community health services and improved their capability. Government funding,staffing allocation,performance appraisal and so on were internalized in public health services to give a comprehensive system and mechanism guarantee. It reached the building goal of shortening emergency time,reduced re-sponse radius,decreased medical costs,saved medical resources and improved emergency efficiency,thus to effectively alleviate the bottleneck problem" The recruiting and retaining of pre-hospital emergency personnel are difficult",which provided a way to learn for sustainable development of the cause of pre-hospital emergency.%院前急救是公共卫生服务的重要组成部分，是急救医学体系最初和最重要的一环。本文介绍了北京市朝阳区急救社区化建设过程，其将急救站建立在辖区每个街乡的卫生服务机构，将社区院前急救和紧急医疗救援职能纳入公共卫生服务项目，在结构和功能上弥补了社区卫生服务机构急救体系发展的短板，把急救服务带到百姓身边，提升了社区卫生服务机构的急诊救护能力；将政府经费投入、人员编制划拨、绩效考核评价等一并纳入基本公共卫生服务项目中，给予全面的体制机制保障；达到了缩短急救反应时间、缩小急救反应半径、降低医疗费用、节约医疗资源、提高救治效率的建设目标，有效缓解了院前急救人员“招聘难、留住难”的瓶颈问题，以及超龄院前急救从业人员后续转归问题。为院前急救事业的可持续、健康发展提供了一条可借鉴的途径。