Objective To promote the community management mode of peritoneal dialysis based on the Third - Level medical system. Methods On the basis of academic strength of the Third - Level hospital to help to establish community center for peritoneal dialysis in primary medical institutions and to train professional medical care technicians of peritoneal dialysis. According to relative occupational documents on standardized operating specifications of peritoneal dialysis issued by the Ministry of Health, to formulate operating and managing procedures suitable for primary medical institutions, as well as the procedures and standards of patient referral with the Third - Level hospital. A preliminary evaluation of the model was carried out through the therapeutic effect for the patients, and the feedback from investigation of patients and their family members, and medical staff. Results The duration of this study was one month. All together 10 peritoneal dialysis professionals were trained for primary medical institutions, and the community person - times for clinic visit went up about 500, and 30 uremia patients were treated with peritoneal dialysis. The patients' conditions after the treatment were good, and it is convenient for the patients to seek medical care, the patients' costs were reduced, and the satisfaction rate reached 100%. Conclusion The community management mode of peritoneal dialysis based on Third - Level medical system can promote reasonable disposition and utilization of medical resources , which brings on great social and economic benefits, therefore it is worth popularizing.%目的 利用三级医疗体系推广腹膜透析社区化管理模式.方法 依托三级医院学术力量,协助基层医疗单位建立社区化腹膜透析分中心、培训腹膜透析专业医疗护理技术人员.参照卫生部腹膜透析标准化操作规范等行业文件,制定适合基层医疗单位操作的工作、管理流程,以及三级医疗机构间患者双向转诊标准和操作流程,并试行推广.通过患者治疗效果以及患者、家属和医护人员的调查反馈,对该模式进行评价.结果 本研究一期(10个月)共培养了基层医疗单位腹膜透析专业人员10人,使社区患者就诊人次数增加约500人次,收治行腹膜透析置管术的尿毒症患者30名.患者治疗后状况良好,就医方便,花费减少,满意率达100％.结论 利用三级医疗体系推广腹膜透析社区化管理模式,促进了医疗资源的合理配置利用,带来了良好的社会效益和经济效益,具有可推广价值.
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