Current status of continuity nursing services in primary and secondary medical institutions in Chongqing，China and related influencing factors

Jia Wenbi; Huang Huanhuan; Xiao Feng; Chen Lijuan; Zhao Qinghua

doi:10.13406/j.cnki.cyxb.003596

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Current status of continuity nursing services in primary and secondary medical institutions in Chongqing，China and related influencing factors

Clinical research | 更新时间：2025-10-23

- Current status of continuity nursing services in primary and secondary medical institutions in Chongqing，China and related influencing factors
- Journal of Chongqing Medical University Vol. 49, Issue 10, Pages: 1154-1158(2024)
- 作者机构：
  
  重庆医科大学附属第一医院护理部，重庆 400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.003596
  CLC： R114
- Received：22 October 2023，
  
  Revised：2024-03-05，
  
  Accepted：18 March 2024，
  
  Published：28 October 2024
- 稿件说明：
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贾雯碧,黄欢欢,肖峰,等.重庆市一、二级医疗机构延续护理服务现状及影响因素分析[J].重庆医科大学学报,2024,49(10):1154-1158.

Jia Wenbi,Huang Huanhuan,Xiao Feng,et al.Current status of continuity nursing services in primary and secondary medical institutions in Chongqing，China and related influencing factors[J].Journal of Chongqing Medical University,2024,49(10):1154-1158.
贾雯碧,黄欢欢,肖峰,等.重庆市一、二级医疗机构延续护理服务现状及影响因素分析[J].重庆医科大学学报,2024,49(10):1154-1158. DOI： 10.13406/j.cnki.cyxb.003596.

Jia Wenbi,Huang Huanhuan,Xiao Feng,et al.Current status of continuity nursing services in primary and secondary medical institutions in Chongqing，China and related influencing factors[J].Journal of Chongqing Medical University,2024,49(10):1154-1158. DOI： 10.13406/j.cnki.cyxb.003596.

摘要

目的

调查和分析重庆市一、二级医疗机构延续护理服务的现状，并探讨其影响因素。

方法

以便利抽样法选取重庆市一、二级医疗机构为调查对象，对延续护理服务开展形式、项目及障碍因素进行调查和分析。

结果

共计70家（37.8%）二级医院，115家（62.2%）一级医院参与调查。所有参与机构均已开展延续护理服务，其中科室随访和出院前准备是最常见的形式，管道护理和外科护理是最常见的上门护理服务内容。二元logistic回归分析发现，政策支持力度不够（

=3.912）、患者对收费项目接受度低（

=2.733）是开展延续护理服务所面临的障碍因素。

结论

重庆市一、二级医疗机构延续护理服务仍处于初级阶段，服务形式单一、服务内容呈现碎片化，服务模式还需进一步丰富；政府、医疗机构需双方合力，完善卫生管理政策和医疗保障制度，打破不同机构信息壁垒，提升服务主体能力，实现延续护理服务关系、信息、管理连续性，促进延续护理需求-供给平衡，构建一个多方共赢互利的良性延续护理服务生态圈。

Abstract

Objective

To investigate the current status of continuity nursing services in primary and secondary medical institutions in Chongqing，China and related influencing factors.

Methods

The convenience sampling method was used to select primary and secondary medical institutions in Chongqing as respondents，and investigation and analysis were performed for the forms，projects，and barriers of continuity nursing services.

Results

A total of 70（37.8%） secondary hospitals and 115（62.2%） primary hospitals participated in the survey. All participating institutions had implemented continuity nursing services，with departmental follow-up visits and pre-discharge preparations as the most common forms，and pipeline care and surgical care were the most common contents of home-based nursing services. The binary logistic regression analysis showed that insufficient policy support（

=3.912） and low acceptance of fee-charging items by patients（

=2.733） were barriers to implementing continuity nursing services.

Conclusion

Continuity nursing services in primary and secondary medical institutions in Chongqing are still at an early stage with limited service forms and fragmented service contents. Therefore，it is needed to further enrich service patterns，and government agencies and healthcare institutions need to work together to improve health management policies and healthcare insurance systems，break down information barriers between different institutions，and enhance the capacity of institutions，so as to realize the continuity of relationship，information，and management in continuity nursing services，promote the balance between demand and supply in continuity nursing，and create a mutually beneficial ecosystem for continuity nursing services.

关键词

Keywords

references

黄金月，王少玲，王钧正 . 香港延续护理高级护理实践路径的建立与发展 [J ] . 中国护理管理， 2022 ， 22 （ 7 ）： 965 - 970 ．

Huang JY ， Wang SL ， Wang JZ . The pathway for developing Advanced Practice Nursing Transitional Care in Hong Kong Special Administrative Region . Chin J Public Health ， 2020 ， 36 （ 4 ）： 545 - 548 ．

郑　娟，许建强，卓　朗，等 . 健康状况对老年人居家养老服务需求影响 [J ] . 中国公共卫生， 2020 ， 36 （ 4 ）： 545 - 548 ．

Zheng J ， Xu JQ ， Zhuo L ， et al . Impacts of health condition on demand of home-based pension service among community elderly [J ] . Chin J Public Health ， 2020 ， 36 （ 4 ）： 545 - 548 ．

刘　志，薄　涛，郝晓宁，等 . 基于缺口分析的北京市老年居家医疗护理服务研究 [J ] . 卫生经济研究， 2020 ， 37 （ 2 ）： 13 - 15 ．

Liu Z ， Bo T ， Hao XN ， et al . Study on Beijing nursing home medical care service based on gap analysis [J ] . Health Econ Res ， 2020 ， 37 （ 2 ）： 13 - 15 ．

国家卫生健康委办公厅 . 关于进一步加强医疗机构护理工作的通知 [EB/OL ] . [ 2024-01-13 ] . http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=67aba592ab854891b97c61a06c1058a6 http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=67aba592ab854891b97c61a06c1058a6 .

General Office of The National Health Commission of the People's Republic of China . Notice on Further Strengthening Nursing Care in Medical Institutions [EB/OL ] . [ 2024-01-13 ] . http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=67aba59 2ab854891b97c61a06c1058a6 http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=67aba592ab854891b97c61a06c1058a6 .

国家卫生健康委 . 《全国护理事业发展规划（2021-2025年）》 [EB/OL ] . [ 2024-05-30 ] . http://www.nhc.gov.cn/yzygj/s7653pd/202205/441f75ad347b4ed68a7d2f2972f78e67.shtml http://www.nhc.gov.cn/yzygj/s7653pd/202205/441f75ad347b4ed68a7d2f2972f78e67.shtml .

National Health Commission of the People's Republic of China . National Nursing Career Development Plan （ 2021-2025 ）[EB/OL ] . [ 2024-05-30 ] . http://www.nhc.gov.cn/yzygj/s7653pd/202205/441f75ad347b4ed68a7d2f2972f78e67.shtml http://www.nhc.gov.cn/yzygj/s7653pd/202205/441f75ad347b4ed68a7d2f2972f78e67.shtml .

梅松利，吴姁怿，杨　杰，等 . 基于多学科协作的精准护理策略在老年肺癌胸腔镜患者中的应用 [J ] . 四川大学学报（医学版）， 2023 ， 54 （ 5 ）： 1052 - 1057 ．

Mei SL ， Wu XY ， Yang J ， et al . Application of precision nursing based on multidisciplinary collaboration model in older patients undergoing thoracoscopic surgery for lung cancer [J ] . J Sichuan Univ Med Sci ， 2023 ， 54 （ 5 ）： 1052 - 1057 ．

陈　冲，云利娥，文荣鑫，等 . 医护康一体化康复护理方案在脑卒中后肌痉挛病人中的应用 [J ] . 护理研究， 2023 ， 37 （ 14 ）： 2632 - 2635 ．

Chen C ， Yun LE ， Wen RX ， et al . Application of continuing care with health care and rehabilitation integration in patients with muscle spasms after stroke [J ] . Chin Nurs Res ， 2023 ， 37 （ 14 ）： 2632 - 2635 ．

胡　敏，凌　颜，罗玲，等 . 认知障碍人群医院-社区-家庭多元养护慢病管理模式的评价 [J ] . 中华神经科杂志， 2021 ， 54 （ 12 ）： 1267 - 1272 ．

Hu M ， Ling Y ， Luo L ， et al . Evaluation of hospital-community-family multiple maintenance chronic disease management model for people with cognitive impairment [J ] . Chin J Neurol ， 2021 ， 54 （ 12 ）： 1267 - 1272 ．

汪春燕，尹　梅，张静，等 . 基于“互联网+”的医院-社区-家庭三元联动健康管理模式在消化性溃疡患者中的应用 [J ] . 护理学杂志， 2020 ， 35 （ 15 ）： 96 - 98，106 ．

Wang CY ， Yin M ， Zhang J ， et al . Application of hospital-community-family trinity linkage health management model based on Internet+” in patients with peptic ulcer [J ] . J Nurs Sci ， 2020 ， 35 （ 15 ）： 96 - 98，106 ．

赵新培 . 打针价格是公立医院近24倍“网约护士”约不约 [J ] . 决策探索（上）， 2019 （ 3 ）： 32 - 33 ．

Zhao XP . The price of injections is nearly 24 times that of public hospitals [J ] . Policy Res Explor ， 2019 （ 3 ）： 32 - 33 ．

田军香，孙雪影，赵孟淑，等 . 国外居家护理服务的研究进展及启示 [J ] . 中华护理杂志， 2019 ， 54 （ 4 ）： 637 - 640 ．

Tian JX ， Sun XY ， Zhao MS ， et al . Research progress on home nursing services in foreign countries [J ] . Chin J Nurs ， 2019 ， 54 （ 4 ）： 637 - 640 ．

益伟清，张翠红，黄慧佳，等 . 医联体护士及患者对“互联网+护理服务”的认知及态度调查 [J ] . 上海护理， 2022 ， 22 （ 7 ）： 20 - 24 ．

Yi WQ ， Zhang CH ， Huang HJ ， et al . Investigation of Awareness and Attitude among Nurses and Patients in Medical Alliances towards“In ternet plus Nursing Service” [J ] . Shanghai Nurs ， 2022 ， 22 （ 7 ）： 20 - 24 ．

姚嫔娉，蒋建军，徐　晓，等 . 新医改后我国基层医疗机构卫生人力资源与服务量的关联性分析 [J ] . 医学与社会， 2023 ， 36 （ 5 ）： 14 - 19 ．

Yao PP ， Jiang JJ ， Xu X ， et al . Analysis of the association between health human resources and service volume of grassroots medical institution after the new health care reform in China [J ] . Med Soc ， 2023 ， 36 （ 5 ）： 14 - 19 ．

金丽红，陈圆圆，邹继华，等 . 医联体基层医院联络护士压力性损伤护理的同质化培训 [J ] . 护理学杂志， 2022 ， 37 （ 15 ）： 65 - 68 ．

Jin LH ， Chen YY ， Zou JH ， et al . Pressure injury care homogeneous training for liaison nurses in secondary hospitals participating in the hospital alliance program [J ] . J Nurs Sci ， 2022 ， 37 （ 15 ）： 65 - 68 ．

沈雨晴，莫　霖，余　璐，等 . 急性白血病患儿行为特征的潜在类别分析及影响因素 [J ] . 重庆医科大学学报， 2024 ， 49 （ 3 ）： 303 - 310 .

Shen YQ ， Mo L ， Yu L ， et al . Potential Category Analysis and Influencing Factors of Behavioral Characteristics in Children with Acute Leukemia [J ] . Journal of Chongqing Medical University ， 2024 ， 49 （ 3 ）： 303 - 310 .

Freeman G , Woloshynowych M , Baker R , et al . Continuity of care 2006: what have we learned since 2000 and what are the policy imperatives now? [R ] . London ： National Institute for Health Research Service Delivery and Organisation ， 2007 ： 7 - 10 .

蔡文璟，蒋　艳，段丽娟 . 区域内多层级慢性病连续照护链模型研究 [J ] . 中国医院管理， 2019 ， 39 （ 3 ）： 71 - 73 ．

Cai WJ ， Jiang Y ， Duan LJ . Research on the model of intra-regional multi-level continuous care service chain for the patients with chronic disease [J ] . Chin Hosp Manag ， 2019 ， 39 （ 3 ）： 71 - 73 ．

张霄艳，戴李怡，蔡学礼，等 . 全周期健康服务视角下专病医疗联合体运行机制分析 [J ] . 中国医院管理， 2022 ， 42 （ 7 ）： 13 - 16 ．

Zhang XY ， Dai LY ， Cai XL ， et al . Analysis on the operation mechanism of the special disease medical alliance from the perspective of full-cycle health services [J ] . Chin Hosp Manag ， 2022 ， 42 （ 7 ）： 13 - 16 ．

肖　爽，赵庆华，肖明朝，等 . PICC信息管理平台的建立及应用 [J ] . 中华护理杂志， 2020 ， 55 （ 3 ）： 379 - 382 ．

Xiao S ， Zhao QH ， Xiao MZ ， et al . Establishment and application of PICC information management platform for intravenous treatment league [J ] . Chin J Nurs ， 2020 ， 55 （ 3 ）： 379 - 382 ．

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