Expert consensus on basic requirements for primary healthcare institutions in areas along the plateau railway_West China Medical Journal

Authors：

 High Altitude Medicine Committee of Sichuan Medical Association

Corresponding author：

High Altitude Medicine Committee of Sichuan Medical Association, Email: luofengming@hotmail.com

Keywords：

High altitude medicine; primary healthcare institutions; expert consensus

DOI：

10.7507/1002-0179.202304061

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Basing on the special geographical environment, population, economic level and medical conditions of the areas along the plateau railway, as well as the policy requirements of primary healthcare institutions in China, combining the reality and early practice of the areas along the plateau railway in China, the High Altitude Medicine Committee of Sichuan Medical Association gathered the experts in the field of high altitude medicine in China, and launched the Expert Consensus on Basic Requirements for Primary Healthcare Institutions in Areas Along the Plateau Railway. Its content covers the scale and layout, infrastructure, personnel allocation and service capacity, material allocation of primary healthcare institutions in areas along the plateau railway, and provides professional guidance for primary healthcare institutions in these areas.

Citation： High Altitude Medicine Committee of Sichuan Medical Association. Expert consensus on basic requirements for primary healthcare institutions in areas along the plateau railway. West China Medical Journal, 2023, 38(4): 481-486. doi: 10.7507/1002-0179.202304061 Copy

1.	于本海, 刘雯琪, 袁倩, 等. 我国基层医疗卫生机构绩效评价研究. 中国卫生经济, 2022, 41(9): 73-77.
2.	周辉, 费宇, 缪涛, 等. 2010-2019 年我国西部地区基层医疗卫生机构卫生资源配置及利用效率评价. 卫生软科学, 2022, 36(5): 58-61.
3.	赵盼盼, 贺睿博, 唐文熙, 等. 基层医疗卫生机构服务的均衡供给与有效治理. 中国卫生经济, 2022, 41(3): 66-72.
4.	姚魏紫, 张雅莉, 蒲星月, 等. 区域协同背景下的四川省基层医疗卫生机构资源配置效率分析. 现代预防医学, 2021, 48(5): 849-853.
5.	Luks AM, Hackett PH. Medical conditions and high-altitude travel. N Engl J Med, 2022, 386(4): 364-373.
6.	Shroff NA, Balbin J, Shobitan O. High-altitude illness: updates in prevention, identification, and treatment. Emerg Med Pract, 2021, 23(9): 1-24.
7.	Storz JF. High-altitude adaptation: mechanistic insights from integrated genomics and physiology. Mol Biol Evol, 2021, 38(7): 2677-2691.
8.	张德乾, 孙永峰. 高原基层卫生所存在的问题及对策. 内蒙古中医药, 2014, 33(9): 108.
9.	车杰, 陈广浩, 常开齐. 高原部队基层医疗卫生建设的思考. 实用医技, 2001, 8(4): 246-247.
10.	杨锦涛. 高原高寒基层部队卫生资源优化配置现状与对策. 当代经济, 2015(30): 88-89.
11.	刘玉霞, 于津民, 李聪, 等. 西部高原地区基层中西医结合医疗卫生情况调查分析. 西部中医药, 2015(4): 72-74.
12.	杨锦涛. 高原高寒基层部队卫生资源供给预测方法研究. 现代商贸工业, 2015, 36(25): 65-66.
13.	Mallet RT, Burtscher J, Richalet JP, et al. Impact of high altitude on cardiovascular health: current perspectives. Vasc Health Risk Manag, 2021, 17: 317-335.
14.	Sydykov A, Mamazhakypov A, Maripov A, et al. Pulmonary hypertension in acute and chronic high altitude maladaptation disorders. Int J Environ Res Public Health, 2021, 18(4): 1692.
15.	Vinnikov D, Krasotski V. Healthy worker survival effect at a high-altitude mine: prospective cohort observation. Sci Rep, 2022, 12(1): 13903.
16.	李玉梅, 董梅, 李晓帆. 高原基层医院护士岗位培训管理模式初探. 西南国防医药, 2009, 19(12): 1324-1326.
17.	李玉梅, 董梅, 李澜. 高原基层医院护士岗位培训管理模式初探. 西藏科技, 2009(1): 46-47.
18.	Li Z, Li R, Xu Y, et al. Study on the oxygen enrichment effect of individual oxygen-supply device in a tunnel of plateau mine. Int J Environ Res Public Health, 2020, 17(16): 5934.
19.	石梅生, 刘晓军, 马军, 等. 高原制供氧技术与装备一体化解决方案. 军事医学, 2014(9): 699-703.
20.	You J, Chen X, Zhou M, et al. Hyperbaric oxygen preconditioning for prevention of acute high-altitude diseases: fact or fiction?. Front Physiol, 2023, 14: 1019103.
21.	冉庄, 陈郁, 谭超, 等. 基于新型住宿方舱的弥散供氧对移居高原人员生理学效应的影响. 第三军医大学学报, 2021, 43(8): 707-714.
22.	冉庄, 王伟帅, 孙徐川, 等. 新研发弥散供氧住宿方舱在高原高寒环境下实地应用效果评价. 军事医学, 2021, 45(4): 246-250.
23.	戴东方, 张玲. 乙酰唑胺和高原安对初进高原人群血氧饱和度的影响. 中国临床医生, 2008, 36(7): 50-51.
24.	Cates VC, Bruce CD, Marullo AL, et al. Steady-state chemoreflex drive captures ventilatory acclimatization during incremental ascent to high altitude: effect of acetazolamide. Physiol Rep, 2022, 10(23): e15521.
25.	Brent MB, Simonsen U, Thomsen JS, et al. Effect of acetazolamide and zoledronate on simulated high altitude-induced bone loss. Front Endocrinol (Lausanne), 2022, 13: 831369.
26.	肖忠海, 王林, 汪海. 碳酸酐酶抑制剂乙酰唑胺的临床应用进展. 中国新药杂志, 2008, 17(16): 1390-1394.
27.	Rikhotso O, Morodi TJ, Masekameni DM. Occupational health and safety statistics as an indicator of worker physical health in South African industry. Int J Environ Res Public Health, 2022, 19(3): 1690.
28.	Wang D, Liu A, Zhang S, et al. History of the development of the reporting system of occupational diseases and occupational disease list in China. China CDC Wkly, 2020, 2(18): 314-318.
29.	Cook MA, Jagpal PS, Hnin Pwint K, et al. Systematic review of human poisoning and toxic exposures in Myanmar. Int J Environ Res Public Health, 2021, 18(7): 3576.
30.	李斌. 我国基层医疗机构卫生人力资源配置及预测研究. 中国卫生产业, 2022, 19(19): 13-18.
31.	Poudel KM, Poudel TR, Shah N, et al. Ascent rate and the Lake Louise scoring system: an analysis of one year of emergency ward entries for high-altitude sickness at the Mustang district hospital, Nepal. PLoS One, 2022, 17(10): e0276901.
32.	Savioli G, Ceresa IF, Gori G, et al. Pathophysiology and therapy of high-altitude sickness: practical approach in emergency and critical care. J Clin Med, 2022, 11(14): 3937.
33.	Kathare M, Julander A, Erfani B, et al. An overview of cleaning agents’ health hazards and occupational injuries and diseases attributed to them in Sweden. Ann Work Expo Health, 2022, 66(6): 741-753.
34.	王素珍, 王泳胜, 刘爱中, 等. 浅析影响高原地区基层医疗机构消毒灭菌质量的原因与对策探讨. 西南军医, 2006, 8(3): 80-81.

1. 于本海, 刘雯琪, 袁倩, 等. 我国基层医疗卫生机构绩效评价研究. 中国卫生经济, 2022, 41(9): 73-77.
2. 周辉, 费宇, 缪涛, 等. 2010-2019 年我国西部地区基层医疗卫生机构卫生资源配置及利用效率评价. 卫生软科学, 2022, 36(5): 58-61.
3. 赵盼盼, 贺睿博, 唐文熙, 等. 基层医疗卫生机构服务的均衡供给与有效治理. 中国卫生经济, 2022, 41(3): 66-72.
4. 姚魏紫, 张雅莉, 蒲星月, 等. 区域协同背景下的四川省基层医疗卫生机构资源配置效率分析. 现代预防医学, 2021, 48(5): 849-853.
5. Luks AM, Hackett PH. Medical conditions and high-altitude travel. N Engl J Med, 2022, 386(4): 364-373.
6. Shroff NA, Balbin J, Shobitan O. High-altitude illness: updates in prevention, identification, and treatment. Emerg Med Pract, 2021, 23(9): 1-24.
7. Storz JF. High-altitude adaptation: mechanistic insights from integrated genomics and physiology. Mol Biol Evol, 2021, 38(7): 2677-2691.
8. 张德乾, 孙永峰. 高原基层卫生所存在的问题及对策. 内蒙古中医药, 2014, 33(9): 108.
9. 车杰, 陈广浩, 常开齐. 高原部队基层医疗卫生建设的思考. 实用医技, 2001, 8(4): 246-247.
10. 杨锦涛. 高原高寒基层部队卫生资源优化配置现状与对策. 当代经济, 2015(30): 88-89.
11. 刘玉霞, 于津民, 李聪, 等. 西部高原地区基层中西医结合医疗卫生情况调查分析. 西部中医药, 2015(4): 72-74.
12. 杨锦涛. 高原高寒基层部队卫生资源供给预测方法研究. 现代商贸工业, 2015, 36(25): 65-66.
13. Mallet RT, Burtscher J, Richalet JP, et al. Impact of high altitude on cardiovascular health: current perspectives. Vasc Health Risk Manag, 2021, 17: 317-335.
14. Sydykov A, Mamazhakypov A, Maripov A, et al. Pulmonary hypertension in acute and chronic high altitude maladaptation disorders. Int J Environ Res Public Health, 2021, 18(4): 1692.
15. Vinnikov D, Krasotski V. Healthy worker survival effect at a high-altitude mine: prospective cohort observation. Sci Rep, 2022, 12(1): 13903.
16. 李玉梅, 董梅, 李晓帆. 高原基层医院护士岗位培训管理模式初探. 西南国防医药, 2009, 19(12): 1324-1326.
17. 李玉梅, 董梅, 李澜. 高原基层医院护士岗位培训管理模式初探. 西藏科技, 2009(1): 46-47.
18. Li Z, Li R, Xu Y, et al. Study on the oxygen enrichment effect of individual oxygen-supply device in a tunnel of plateau mine. Int J Environ Res Public Health, 2020, 17(16): 5934.
19. 石梅生, 刘晓军, 马军, 等. 高原制供氧技术与装备一体化解决方案. 军事医学, 2014(9): 699-703.
20. You J, Chen X, Zhou M, et al. Hyperbaric oxygen preconditioning for prevention of acute high-altitude diseases: fact or fiction?. Front Physiol, 2023, 14: 1019103.
21. 冉庄, 陈郁, 谭超, 等. 基于新型住宿方舱的弥散供氧对移居高原人员生理学效应的影响. 第三军医大学学报, 2021, 43(8): 707-714.
22. 冉庄, 王伟帅, 孙徐川, 等. 新研发弥散供氧住宿方舱在高原高寒环境下实地应用效果评价. 军事医学, 2021, 45(4): 246-250.
23. 戴东方, 张玲. 乙酰唑胺和高原安对初进高原人群血氧饱和度的影响. 中国临床医生, 2008, 36(7): 50-51.
24. Cates VC, Bruce CD, Marullo AL, et al. Steady-state chemoreflex drive captures ventilatory acclimatization during incremental ascent to high altitude: effect of acetazolamide. Physiol Rep, 2022, 10(23): e15521.
25. Brent MB, Simonsen U, Thomsen JS, et al. Effect of acetazolamide and zoledronate on simulated high altitude-induced bone loss. Front Endocrinol (Lausanne), 2022, 13: 831369.
26. 肖忠海, 王林, 汪海. 碳酸酐酶抑制剂乙酰唑胺的临床应用进展. 中国新药杂志, 2008, 17(16): 1390-1394.
27. Rikhotso O, Morodi TJ, Masekameni DM. Occupational health and safety statistics as an indicator of worker physical health in South African industry. Int J Environ Res Public Health, 2022, 19(3): 1690.
28. Wang D, Liu A, Zhang S, et al. History of the development of the reporting system of occupational diseases and occupational disease list in China. China CDC Wkly, 2020, 2(18): 314-318.
29. Cook MA, Jagpal PS, Hnin Pwint K, et al. Systematic review of human poisoning and toxic exposures in Myanmar. Int J Environ Res Public Health, 2021, 18(7): 3576.
30. 李斌. 我国基层医疗机构卫生人力资源配置及预测研究. 中国卫生产业, 2022, 19(19): 13-18.
31. Poudel KM, Poudel TR, Shah N, et al. Ascent rate and the Lake Louise scoring system: an analysis of one year of emergency ward entries for high-altitude sickness at the Mustang district hospital, Nepal. PLoS One, 2022, 17(10): e0276901.
32. Savioli G, Ceresa IF, Gori G, et al. Pathophysiology and therapy of high-altitude sickness: practical approach in emergency and critical care. J Clin Med, 2022, 11(14): 3937.
33. Kathare M, Julander A, Erfani B, et al. An overview of cleaning agents’ health hazards and occupational injuries and diseases attributed to them in Sweden. Ann Work Expo Health, 2022, 66(6): 741-753.
34. 王素珍, 王泳胜, 刘爱中, 等. 浅析影响高原地区基层医疗机构消毒灭菌质量的原因与对策探讨. 西南军医, 2006, 8(3): 80-81.

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Expert consensus on basic requirements for primary healthcare institutions in areas along the plateau railway

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