住院患者营养不良发生率高,可能是因为诊疗活动安排不当导致医院获得性营养不良(HAM),对患者的预后造成了严重影响。“无饿医院”理念应运而生,旨在通过营养管理,确保患者获得合理营养,预防HAM。然而,将这一理念转化为医院的统一行动,依旧面临诸多挑战。本文从医院管理体系建立的角度出发,探讨如何在“无饿医院”建设中建立系统化的医疗管理体系。通过文献研究法和案例分析法,了解医院内营养不良问题,分析传统管理模式的缺陷。构建 “领导层-执行层-实施层-支撑层”医疗体系,探究确保该机制顺利实施的核心因素,为院内营养不良的防治提供理论依据,丰富现代医院人文关怀的内涵,推动“健康中国”战略在医院层面的落地。
Abstract
The incidence of malnutrition among hospitalized patients is high, often due to improper diagnosis and treatment activities leading to hospital acquired malnutrition (HAM), which has a serious impact on the prognosis of patients. The concept of a hunger free hospital has emerged, aiming to ensure that patients receive reasonable nutrition and prevent HAM through nutritional management. However, translating this concept into unified action in hospitals still faces many challenges. This article explores how to establish a systematic medical management system in the construction of a "hunger free hospital" from the perspective of establishing a hospital management system. Through literature research and case analysis, understand the problem of malnutrition in hospitals and analyze the shortcomings of traditional management models. Establish a medical system that includes "leadership executive implementation support", explore the core guarantees to ensure the smooth implementation of this mechanism, provide theoretical basis for the prevention and treatment of malnutrition in hospitals, enrich the connotation of modern hospital humanistic care, and promote the implementation of the "Healthy China" strategy at the hospital level.
关键词
无饿医院 /
营养不良 /
营养管理 /
多学科协作 /
管理体系 /
医疗体系
Key words
Hunger-free hospital /
Malnutrition /
Nutrition managemen /
Multidisciplinary cooperation /
Management structure /
Medical structure
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