上海基层社区医院外科诊疗能力提升经验分享

方圆; 曹锦峰; 顾春飞; 王伟; 黄陈

doi:10.16766/j.cnki.issn.1674-4152.004518

上海基层社区医院外科诊疗能力提升经验分享

doi: 10.16766/j.cnki.issn.1674-4152.004518

方圆¹,
曹锦峰²,
顾春飞³,
王伟⁴,
黄陈^1, ,

1.
上海交通大学医学院附属第一人民医院胃肠外科，上海 200080
2.
上海市虹口区嘉兴路街道社区卫生服务中心，上海 200080
3.
上海市松江区方塔中医医院普外科，上海 201600
4.
上海市松江区方松街道社区卫生服务中心，上海 201600

基金项目:

国家自然科学基金面上项目 82472921

详细信息

通讯作者:
黄陈, E-mail：huangchen0204@sjtu.edu.cn

中图分类号: R197.61
计量
- 文章访问数: 8
- HTML全文浏览量: 7
- PDF下载量: 0
- 被引次数: 0
出版历程
- 收稿日期: 2026-01-20
- 网络出版日期: 2026-11-10

Experience sharing on enhancing surgical treatment capabilities of community hospitals at the grassroots level in Shanghai

1.
Department of Gastrointestinal Surgery, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China

摘要

摘要: 上海市基层社区医院承担着2 400余万常住人口的“家门口”健康守护职责，基层社区医院是为人民群众提供健康服务的重要窗口，其外科诊疗技能直接影响患者生命健康。目前基层社区医院存在外科硬件设施陈旧落后、专业人才不足、知识缺乏更新、外科诊疗能力落后、操作规范性不足等问题，因此解决这些问题是提高人民群众就医体验、改善人民群众健康的重要举措。本文聚焦于解决基层社区医院外科诊疗能力的核心问题，提出了升级硬件设施、提高外科诊治能力、健全人才培养、规范诊疗预防等措施。同时，通过上海交通大学医学院附属第一人民医院援助建设两个基层社区医院的经典案例分享，旨在推进社区标准化门诊手术室建设，以及推动社区医生“向上进修”与上级专家“向下下沉”双向发力等重要举措，以期为基层社区医院外科的建设提供宝贵经验。展望未来，基层外科诊疗能力提高刻不容缓，仍需三级医院从硬件及软件多方面协助基层医院发展。同时，提升基层社区医院外科诊疗技能可优化医疗资源配置，增强人民群众的就医体验，使居民在家门口即可享受规范、便捷、优质的外科服务。
- 基层社区医院 /
- 外科 /
- 诊疗能力
Abstract: As a mega-city, Shanghai is home to over 24 million permanent residents, for whom community hospitals serve as the frontline provider of healthcare. As a critical public health interface for the general population, the surgical competence of community hospitals directly impacts patients' health and safety. Current challenges in community hospitals include outdated and inadequate surgical hardware, a shortage of specialized surgical staff, insufficient continuing medical education, limited overall surgical capacity, and inadequate standardization of clinical procedures. Addressing these issues is therefore essential to improving patients' care experience and public health outcomes. This paper focuses on core strategies to enhance the surgical capacity of community hospitals, including upgrading hardware facilities to strengthen diagnostic and therapeutic capabilities, improving the systematic training of healthcare professionals, and standardizing diagnosis, treatment, and preventive care. It further shares exemplary practices from two community hospitals supported by Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine. Key initiatives highlighted include the development of standardized outpatient operating rooms at the community level, as well as two-way collaborative efforts: advancing further training for community physicians at higher-level institutions and deploying senior specialists from tertiary hospitals to community settings. These practices provide valuable experience for the future development of surgical services in primary community hospitals. Looking ahead, the urgent need to upgrade primary surgical capacity requires continued support from tertiary hospitals to advance both hardware and software development in primary care settings. Furthermore, improving the surgical skills of primary community hospitals will optimize the allocation of medical resources, enhance public satisfaction with healthcare services, and enable residents to access standardized, convenient, and high-quality surgical care.
- Community hospitals /
- Surgery /
- Diagnosis and treatment skills

HTML全文

图 1 上海市虹口区嘉兴路社区卫生服务中心手术室配备多功能手术床、无影灯、高频电刀、心电监护、负压吸引及应急抢救设备

Figure 1. The operating room of Jiaxing Road Community Health Service Center in Hongkou District, Shanghai is equipped with multifunctional operating beds, shadowless lamps, high-frequency electrotomes, electrocardiographic monitors, negative pressure suction devices and emergency rescue equipment

下载: 全尺寸图片幻灯片

图 2 上海市松江区方塔社区卫生服务中心“标准化门诊手术室”

Figure 2. Shanghai Songjiang District Fangta Community Health Service Center "Standardized Outpatient Operating Room"

下载: 全尺寸图片幻灯片

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