北京市城区家庭医生式服务开展现况研究

发布时间：2018-01-12 06:08

本文关键词：北京市城区家庭医生式服务开展现况研究　出处：《中国全科医学》2015年28期 　论文类型：期刊论文

【摘要】：目的了解北京市城区家庭医生式服务开展现况,为促进家庭医生式服务发展提供对策和建议。方法于2014年11月—2015年1月,采用目的抽样法,在北京市6个城区的11家社区卫生服务中心/站中抽取11名全科医生。采用专题小组访谈法进行资料收集,采用内容分析法进行资料整理和分析。结果抽取的11家社区卫生服务机构的服务人口数为(0.67~12.00)万,签约率为30.0%~80.0%,服务对象主要为老年慢性病患者、孕产妇及儿童,医生是服务团队的管理者和工作主要承担者。目前,居民对家庭医生式服务的认识存在误区;社区卫生技术人员不足,家庭医生式服务增加了日常工作量;家庭医生式服务相关配套政策有待完善;信息化建设水平有待提升。家庭医生式服务已经初见成效;社区卫生服务机构在重视基本公共卫生服务的同时,更应注重基本医疗服务能力的提升。结论家庭医生式服务的认可度较高,但居民认识存在误区,社区人力资源、信息化建设及政策支持有待完善。应加强对家庭医生式服务的正确宣传与引导,优化其服务内涵和团队合作,并不断完善其配套制度与政策。
[Abstract]:Objective to understand the present situation of family doctor service in urban area of Beijing, and to provide countermeasures and suggestions for promoting the development of family doctor service. Methods from November 2014 to January 2015, the purpose sampling method was used. Eleven general practitioners were selected from 11 community health service centers / stations in 6 urban areas of Beijing. The data were collected by panel interviews. Results the service population of 11 community health service institutions was 0.67 ~ 12.00) 000, and the signing rate was 30.080%. The clients of the service are mainly elderly patients with chronic diseases, pregnant women and children. Doctors are the managers of service teams and the main duty bearers. At present, there are some misunderstandings on the understanding of family doctor service among the residents. The shortage of community health technicians, family doctor type service increased the daily workload; Family doctor service related policies need to be improved; The level of information construction needs to be improved. Community health service institutions should pay more attention to the improvement of the ability of basic medical services while paying attention to basic public health services. Conclusion the recognition of family doctor type services is high but there are some misunderstandings among residents. Community human resources, information construction and policy support need to be improved. We should strengthen the correct propaganda and guidance of family doctor service, optimize its service connotation and team cooperation, and constantly improve its supporting system and policy.
【作者单位】：首都医科大学全科医学与继续教育学院;齐齐哈尔医学院公共卫生学院;
【基金】：北京哲学社科项目(13ZHB005)
【分类号】：R197.1
【正文快照】： 自2009年我国开展了新一轮医药卫生体制改革以来,“保基本、强基层、建机制”工作取得了初步成效。随着医药卫生体制改革的不断深入,如何在确保医疗服务质量的前提下控制费用增长,成为了我国医疗卫生事业面临的重要问题。作为医疗保险和居民健康的双重“守门人”,全科医生的

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