中国医院感染防控核心法律体系及其规范化学习实践路径探索

Core legal system for prevention and control of health care-associated infections in China and standardized learning and practice paths

  • 摘要:
    目的 探索中国医疗机构感染预防与控制专职人员(IPCPs)规范化学习与实践核心法律法规及标准的有效路径,以应对当前感控法规体系复杂、更新迅速所带来的理解与执行困境,从而提升医疗机构的整体感控能力。
    方法 综合运用文献研究、理论分析并结合实践经验,对《中华人民共和国传染病防治法》《中华人民共和国突发公共卫生事件应对法》《医院感染管理办法》《医疗机构感染预防与控制基本制度(试行)》四部核心法律法规进行深入解读与逻辑梳理。在此基础上,结合相关标准的技术支撑作用,构建适用于IPCPs的能力建设路径。
    结果 中国感控法律法规体系呈现出“根本法—应急法—组织法—操作法”的金字塔式结构,各层级功能互补且内在联系紧密。IPCPs的能力建设路径涵盖系统学习、专业实践与教育培训三个维度。在系统学习层面,应通过纵向贯通、横向比较、点面结合及案例复盘等方法,构建多维知识体系;在专业实践层面,应嵌入PDCA循环机制,推动感控工作的闭环管理与持续改进;在教育培训层面,应主导建立针对决策层、管理层、执行层及后勤人员的分层分类、多元化精准培训体系。
    结论 IPCPs唯有通过系统化的法规认知与能力建设,才能将法律要求落地为保障医患安全、履行机构职责的有效行动,为我国医疗机构感控工作的法治化、专业化发展提供坚实支撑。

     

    Abstract:
    OBJECTIVE  To explore an effective path for the standardized learning and practical application of core laws, regulations and standards by infection prevention and control practitioners (IPCPs) in Chinese medical institutions. This approach is intended to address the difficulties in understanding and implementing the complex and rapidly updating infection control regulatory system, thereby strengthening overall institutional infection control capabilities.
    METHODS  By comprehensively utilizing literature research, theoretical analysis and practical experience, an in-depth interpretation and logical analysis were conducted on four core laws and regulations: the "Law of the People's Republic of China on the Prevention and Treatment of Infectious Diseases," the "Law of the People's Republic of China on Responding to Public Health Emergencies," the "Regulations on Hospital Infection Management" and the "Basic System for Infection Prevention and Control in Medical Institutions (Trial)." Based on this, and by leveraging the technical support of relevant standards, a capacity-building approach for IPCPs was constructed.
    RESULTS  The legal and regulatory system for infection control in China presented a pyramid structure, comprising "fundamental law - emergency law - organizational law - operational law," where each level functioned synergistically and was intricately linked. The capacity-building approach for IPCPs covered three dimensions: systematic learning, professional practice and education and training. At the systematic learning level, it involved constructing a multidimensional knowledge framework through vertical integration, horizontal comparison, point-to-surface synthesis and case review. At the professional practice level, it integrated the plan, do, check and act (PDCA cycle to establish closed-loop management and drive continuous improvement in infection control. At the education and training level, it centered on developing a stratified, diversified and targeted training system for decision-makers, managers, frontline implementers and logistics personnel.
    CONCLUSIONS  Systematic regulatory awareness and capacity building empower IPCPs to transform legal mandates into concrete actions that ensure patient and staff safety while meeting institutional obligations. In doing so, they lay a robust foundation for advancing infection control in Chinese medical institutions toward greater professionalization and adherence to the rule of law.

     

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