全国38家非公立医疗机构医院感染管理现状调查

Survey on the current status of hospital-associated infection management in 38 non-public medical institutions of China

  • 摘要:
    目的 调查非公立医疗机构医院感染管理现状及存在问题, 为制定适用于非公立医疗机构的医院感染管理政策及构建医院感染管理质量评价体系提供数据。
    方法 采用质性研究方法, 于2023年12月对38名一级、二级、三级非公立医疗机构医院感染管理部门的负责人进行半结构式访谈, 并采用Nvivo 12.0软件对访谈资料进行编码、分析, 提炼主题。
    结果 共提炼主题3个:非公立医疗机构医院感染管理组织体系基本建立, 但职能和权责划分尚不完全明确;医院感染管理工作取得一定成效, 包括协同其他部门规范落实感染控制措施、提升工作人员感染控制意识、促进组织制度的建立;感染控制工作存在经费投入不足、人员配置不符合要求、感染控制措施落实困难等方面的问题, 最需得到的帮助是解决感染控制专兼职人员培训、职称晋升问题。
    结论 非公立医疗机构应加强人员配备及培训, 提升感染控制人员专业能力, 建立符合各层级非公立医疗机构特点的医院感染管理标准。

     

    Abstract:
    OBJECTIVE To investigate the current status and existing issues of hospital-associated infection management in non-public medical institutions, so as to provide data for the formulation of hospital-associated infection management policies and the construction of a quality evaluation system for hospital-associated infection management in non-public medical institutions.
    METHODS A qualitative research method was employed. In Dec. 2023, semi-structured interviews were conducted with 38 directors of hospital-associated infection management departments in primary, secondary and tertiary non-public medical institutions. The interview data were coded and analyzed by Nvivo 12.0 software to refine themes.
    RESULTS Three themes were refined: the organizational system for hospital-associated infection management in non-public medical institutions had been basically established, but the division of functions and responsibilities was not yet fully clear, hospital-associated infection management had achieved certain results, including collaborating with other departments to standardize and implement infection control measures, enhancing staff awareness of infection control, and promoting the establishment of organizational systems. There were issues in infection control works such as insufficient funding, personnel allocation not meeting requirements, and difficulties in implementing infection control measures. The most urgent assistance needed was to address the training and professional title promotion for full-time and part-time infection control personnel.
    CONCLUSION Non-public medical institutions should strengthen staffing and training, enhance the professional capabilities of infection control personnel, and establish hospital-associated infection management standards that are tailored to the characteristics of non-public medical institutions at all levels.

     

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