社区居民对医联体专科医生参与家庭医生签约服务的认知分析
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吴述银(1978—),男,安徽金寨人,讲师,研究方向为卫生政策与医院管理;贾贤杰(1976—),男,安徽淮北人,教授,研究方向为卫生政策与管理,通信作者,xjjia@139.com

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R197.1

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安徽省高校人文社会科学研究重点项目“基于医联体核心医院参与的家庭医生签约服务现况及策略研究” (SK2019A0182);蚌埠医学院人文社会科学重点项目“公立医院高质量发展新体系下医防融合现况研究”(2021byzd239sk); 蚌埠医学院第一批“512计划”骨干教师培养对象-贾贤杰(by51201202)


Analysis of community residents’cognition of medical alliance specialist doctors’participation in contracted family doctor services
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    摘要:

    为了解医联体内专科医生参与家庭医生签约服务现状,对皖南、皖中和皖北3个社区卫生服务中心覆盖的社区居民进行随机抽样调查,调查社区居民的一般情况、家庭医生签约及获得服务情况和对医联体核心医院专科医生参与家庭医生签约服务认知及需求情况。结果显示,1 279 名社区居民中签约 686 人,签约率为 53.6%;愿意与医联体专科医生参与的家庭医生团队签约占 64.11%,是否签约、对医联体了解程度、地区是其影响因素;签约居民获得服务排在前 3 位的是“建立健康档案”(97.38%)、“健康检测”(85.28%)和“电话随访”(76.97%);社区居民对医联体专科医生参与家庭医生签约服务需求排前 3 位的是“常见病的治疗”(71.07%)、“健康养生指导”(67.63%)和“慢性病的防治”(63.72%)。建议加大宣传力度,推进医防融合,构建医联体内专科医生参与家庭医生签约服务的长效机制。

    Abstract:

    To investigate community residents’perception of specialist doctors’participation in family doctor contract service,this study conducted a random sample survey based on residents from three community health service centers in South Anhui,Central Anhui and North Anhui. We investigate the general status of community residents,family doctor signing and access to services. It also focuses on residents’awareness and demand for specialist doctors in core hospitals of medical alliances participating in contracted family doctor services. Among 1 279 community residents,686 signed the contract with a signing rate of 53.6%. 64.11% of the residents were willing to signup with the family doctor team involving specialist doctors from the medical alliance. The decision to sign,the understanding of the medical alliance and its specific region were the influencing factors of whether the community residents were willing to sign family doctor service with medical alliance specialists. The top three services contracted residents received were“establishing health records” (97.38%),“health testing”(85.28%) and“telephone follow - up”(76.97%). The top three demands of community residents in this service are“treatment of common diseases”(71.07%),“healthcare guidance” (67.63%) and "prevention and treatment of chronic diseases”(63.72%). We suggest strengthening the publicity,promoting the integration of medical prevention and treatment and building a long -term mechanism for specialized doctors in medical alliances to participate in the contracted service of family doctors.

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吴述银,谢云涛,刘露,王静,贾贤杰.社区居民对医联体专科医生参与家庭医生签约服务的认知分析[J].南京医科大学学报(社会科学版),2022,22(6):591~596

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  • 在线发布日期: 2022-12-28
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