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妇幼保健机构中保健和临床相结合的理论与服务内涵的探讨

Exploring the theory and connotation of the integration of health care and clinical service in maternal and child health care institutions

  • 摘要: 本研究通过对妇幼保健机构中保健和临床相结合的理论体系、管理运行机制、工作模式、服务内涵进行介绍与探讨,以期为妇幼保健机构落实妇幼卫生工作方针,开展标准化建设和规范化管理提供理论基础和实践模式。研究指出,在妇幼保健机构中运用三级预防理论、全生命周期健康管理理论是做好保健和临床工作相结合的基础,在一级预防、二级预防、三级预防上要实现保健和临床相结合;在层级管理上,应将保健和临床相融合的机构管理机制体现到决策层、控制层和执行层;并在落实全面质量管理中的结构质量、过程质量、结果质量时做到保健工作质量和临床工作质量相结合。

     

    Abstract: This study introduces and explores the theoretical system, management and operation mechanism, working mode and service connotation of the integration of health care and clinical work in maternal and child health(MCH) care institutions, in order to provide a theoretical evidence and practical model for the implementation of MCH work principles, standardized construction and management in MCH care institutions. The research points out that the application of ‘three-tier prevention’ and ‘full life-cycle health management theory’ in MCH care institutions is the basis for integrating health care and clinical service, and it should be achieved in primary, secondary and tertiary prevention. As for hierarchical management, the integrated institutional management mechanism of health care and clinical service should be reflected at decision-making, control and executive levels. At the same time, the integration of health care and clinical service quality should be achieved in the implementation of total quality management in terms of structure, process, and result quality.

     

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