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医育融合视角下聚焦PDCA循环的多学科巡园模式探索与实践

Multidisciplinary Patrol Supervision of Nursery Services Focusing on the Plan-Do-Check-Act Cycle: Exploration and Practice Based on the Integration of Medical Care and Education

  • 摘要: 托育服务作为婴幼儿照护服务的重要组成部分,其服务质量和管理水平对在托婴幼儿生理、心理和社会能力等方面的全面发展具有重要意义。生命早期1000 d是决定人一生健康状况的最关键时期,所以在婴幼儿养育过程中要格外关注健康维度,从医学专业角度出发进行日常养育。本文基于医育融合视角,创新性探索构建聚焦机构PDCA循环(戴明循环,Plan-Do-Check-Act Cycle)的多学科巡园模式,旨在通过组建多学科医育专家团队,对托育服务机构进行机构管理、婴幼儿健康管理、疾病预防、风险识别与筛查等的评估指导,弥补仅儿保医生巡园指导的单一性,高质效提高服务质量,满足托育服务机构和婴幼儿家庭供需双方对托育服务的期望,推动医育融合托育服务有效落地,提升婴幼儿健康养育照护水平。

     

    Abstract: Nursery services are a vital component of childcare for infants and toddlers. The quality and management of nursery services significantly impact the holistic development of infants and toddlers in terms of their physical, psychological, and social skills and capabilities. The first 1000 days in the life of an infant or toddler are a critical period that shapes their health status for their whole life, which highlights the need to prioritize health in childcare for infants and toddlers and to approach daily childcare services from a medical perspective. Based on the approach of integrating medical care and education, we innovatively explored and constructed a multidisciplinary patrol supervision model for childcare services, focusing on the PDCA cycle (Plan-Do-Check-Act cycle). We aim at establishing a multidisciplinary team of medical and nursing experts who provide evaluation and guidance for the institutional management, health management for infants and toddlers, disease prevention, and risk identification and screening of childcare services for infants and toddlers. This approach addresses the issue of the simplistic nature of the traditional patrol supervision involving only childcare physicians, improves service quality with high efficiency, meets the expectations of both childcare service providers and the families of infants and toddlers—the users of childcare services, enhances the effective implementation of childcare for infants and toddlers based on the integration of medical care and education, and improves the quality of a health-centered approach to childcare for infants and toddlers.

     

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