基层医疗卫生机构设置发热哨点诊室的建议与思考

基层医疗卫生机构在突发公共卫生事件应急网络中起到“网底”的作用。在基层医疗卫生机构设置发热哨点诊室有利于实现突发公共卫生事件和发热诊室“早发现、早诊断、早隔离和及时上报”，从而控制疫情进展。目前，我国正在加紧基层医疗卫生机构发热哨点诊室的建设，对其建设标准和职能有了初步的规定。根据相关文件要求，基层医疗卫生机构发热哨点诊室的最低标准应包括建设布局、硬件和软件配置三方面的内容，针对目前基层医疗卫生机构普遍存在的问题，应加强社区卫生应急体系建设、广泛开展人员培训与工作督导、建设便捷通畅的信息网络，规范建设发热哨点诊室并实施持续性运行管理，才能有效发挥发热哨点诊室的作用，使之在公共卫生事件应急体系中发挥重要的“网底”作用。

Reflections and Recommendations on Setting up Fever Sentinel Surveillance Clinic in Primary Healthcare Institutions

In the system of public health emergency preparedness network,primary care plays an important role as the"bottom of the net".Establishing fever sentinel surveillance clinics in primary healthcare institutions is conducive to the realization of early detection,diagnosis,and isolation and timely reporting of public health emergencies,thus controlling the spread of an epidemic.Currently,China is stepping up efforts to construct fever sentinel surveillance clinics and fever clinics in primary healthcare institutions,but the construction standards and functions of such clinics are still preliminary exploration.According to the requirements of relevant regulations,the minimum standards of fever sentinel clinics in primary healthcare institutions should include three aspects:construction layout,hardware and software allocations.To make the fever sentinel surveillance clinic better perform its primary role in coping with public health emergencies,in view of the common problems in setting up a fever sentinel surveillance clinic in primary care,we put forward the following recommendations:strengthening the establishment of community health emergency system,extensively carrying out trainings about publish health emergencies for primary care professionals and work supervision,building a convenient and efficient information network,and standardizing the establishment of a fever sentinel surveillance clinic and managing its operation continuously.