基于全科医生签约服务的全科助理员模式探讨

发布时间：2017-12-30 17:28

本文关键词：基于全科医生签约服务的全科助理员模式探讨　出处：《中国全科医学》2015年19期 　论文类型：期刊论文

【摘要】：目的探讨基于全科医生签约服务的全科助理员模式的效果。方法由在社区工作时间较长、沟通能力强、社区护理工作经验丰富的护师作为全科助理员,与全科医生团队形成配比,协助全科医生完成全人群覆盖式的家庭医生责任制服务工作,主要包括建档管理、门诊预约、双向转诊、健康教育等内容。结果全科助理员模式试点后一年与试点前一年相比,全科医生人均累计签约人数增加31.33%,预约门诊人次增加29.02%,新发现高血压患者数增加34.31%,双向转诊人次增加117.86%。全科助理员模式试点运行一年间,匹配助理员与未匹配助理员的全科医生相比,人均累计签约人数增加46.38%,预约门诊人次增加141.41%,新发现高血压患者数增加229.64%,双向转诊人次增加179.82%。结论基于全科医生签约服务的全科助理员模式有利于提高慢性病管控效率,有利于提升社区基本公共卫生覆盖水平,是提升社区人力资源配置效能的有效途径。
[Abstract]:Objective to investigate the contracted service GP GP model based on assistant effect. By the method of long work in the community, strong communication skills, nurse of community nursing work experience as department assistant, the formation ratio and GP team, assist the general practitioner to complete the full coverage of the population responsibility system of family doctors service work, including file management, appointment, two-way referral, health education and so on. The general assistant model pilot one year after the pilot with the previous year. The per capita family doctor signed a total of 31.33% increase in the number of appointments, outpatient visits increased 29.02%, 34.31% increase in the number of new patients with hypertension, two-way referral visits increased 117.86%. general assistant mode pilot run, and not matching, assistant assistant general practitioners, per capita total contracted 46.38% increase in the number of people, make an appointment The increase of 141.41%, 229.64% increase in the number of new patients with hypertension, two-way referral visits increased 179.82%. conclusion GPS based on contract service general assistant model helps to improve the efficiency of management and control of chronic diseases, is conducive to enhancing the basic community public health coverage levels, is an effective way to enhance community human resource allocation efficiency.

【作者单位】：上海市浦东新区潍坊社区卫生服务中心;
【分类号】：R197.1
【正文快照】： General Practice Assistant Mode Based on General Practitioner Contract-signing Service WANG Yang,DU Zhao-hui,ZHANG Yi,et al.Weifang Community Health Service Center,Shanghai 200122,China上海市浦东新区卫生计生委关于《实施全科医师家庭责任制实施方案》提出了

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