需求侧视角下家庭医生合同服务效果评价及发展对策

Ping Li, Xinglong Xu, J. Tang, Min Gan
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引用次数: 0

摘要

目的:研究以社区居民为主体的镇江市家庭医生合同服务的实施效果,分析镇江市家庭医生合同服务中存在的问题,进而探索家庭医生合同服务的优化策略。方法:通过查阅相关文献和镇江市政府文件、报告,了解镇江市近年来家庭医生签约制度的签约措施。在专家的指导下,我们设计了镇江市居民签约家庭医生现状调查问卷。采用随机抽样的方法,在镇江市随机抽取3个社区,每个社区随机抽取若干户,发放问卷120份,回收问卷112份。无效问卷8份,有效率为93.33%。结果:目前镇江市家庭医生人才队伍建设不足。居民就医观念固化;没有足够深入的宣传。结论:增加人才数量,提高服务质量,增强居民对社区卫生服务的信心和依从性;逐步改变居民就医观念,推行分级诊疗;开展深度宣传,提高普通人群认知的广度和深度,提高居民利用率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect Evaluation and Development Countermeasures of Family Doctor Contract Service from the Perspective of Demand Side
Objective: To study the implementation effect of family doctor contract service in Zhenjiang City with community residents as the main body, analyze the problems existing in the contract service of family doctor in Zhenjiang City, and then explore the optimization strategy of family doctor contract service. Method: Through studying relevant literature and Zhenjiang government documents and reports, we learned about the signing measures of the signing system of family doctors in Zhenjiang in recent years. With the guidance of experts, we designed the questionnaire of the current situation of signing family doctors of residents in Zhenjiang. By random sampling method, we randomly selected three communities in Zhenjiang, randomly selected several households in each community, distributed 120 questionnaires, and recovered 112 questionnaires. There were 8 invalid questionnaires, and the effective rate was 93.33%. Results: At present, the construction of the talented team of family doctors in Zhenjiang City is insufficient. Residents' concept of medical treatment is solidified; Not enough in-depth publicity. Conclusion: Increase the number of talents, improve the quality of service, and enhance the confidence and compliance of residents to community health service; Gradually change the residents concept of medical treatment, promote hierarchical diagnosis and treatment; Carry out in-depth publicity, improve the breadth and depth of the general population's cognition, and improve the utilization rate of residents.
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